Centre for Innovation
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Request for a Learn Project Site

Please complete the following form. When the Submit button is pressed, the information entered will be sent via email. Please be sure to provide all the requested information and that it is correct. Please allow 3-5 business days for the site to be created. Please indicate who the intended users are for this site by filling out the Comment section of this form.

Faculty/Staff Info:

First Name:

Last Name:

Department:

Phone:

Email:

Project Site Name:

Comments:
Please indicate if this site is intended for UW faculty/Staff, UW registered students, and/or others (external).