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New Approved Institutions Only!

Setup Request Form
Note: With names, please include the middle initial as they become part of the User's ID.
Items		Data	Example
Approval Code* (provided)			(Contact Support)
Institution Initials*			NBC
Online Programs URL*			online.nbc.edu
Institution Name*			Nazarene Bible College
Address*			1111 Academy Park Loop
City*			Colorado Springs
State (long)*			Colorado
State (short)*			CO
Zip Code*			80910
Institution Type*			College
Main Web Site*			www.nbc.edu
Grade Recipient's Name*		Title First M Last	Dr. David M Phillips
Grade Recipient's Label			Dr. David M Phillips
Grade Recipient's Email*			DMPhillips@nbc.edu
Local Phone Number*			719-884-5035
800 Number			800-873-3873
Extension			5035
Director's Name* (admin access)		Title First M Last	Dr. David M Phillips
Director's Label			Dr. David M Phillips
Director's Email*			DMPhillips@nbc.edu
Online Contact Email*			online@nbc.edu
Support Name*		Title First M Last	Rev. Steven R Magee
Support Label			Rev. Steven R Magee
Support Email*			support@nbc.edu
NNTP URL*			scribe.nbc.edu
Koinonia URL*			koinonia.nbc.edu

	* Required Field