User Access Request Form | Enrollment Management

UCI personnel who need access to the EMA App, please complete the following user access request form.

Please note: New users must attend the "New User Training / EMA App Overview" training offered on the first EMA User Training session of the month.

First Name:

Last Name:

UCInetID:This field is required.

Email:Please enter a valid email address.

Are you requesting new access or modifying your current access?Click to select an applicable option.

Your UCI Division/Unit/Department:

Which of the following best describes your functional role?Click to select an applicable option.

Other Functional Role (please complete if you selected Other in the above field):

Please provide a brief description of your functional need for access to the EMA App:000/500 Characters Remaining