University of Nevada, Reno
 PeopleSoft Access

Please read the application procedures

Name: NSHE ID: Dept: Emp ID: Phone: Mail Stop: Email: Birthdate:    NetID:

Select PeopleSoft Role:  

University of Nevada, Reno: PeopleSoft Access

  Dean/VP Signature Date ORIGINAL SIGNATURES REQUIRED Copies of signatures will not be accepted Applicant's Signature Date Printed Name and Title
PeopleSoft Application Coordinator Signature Printed Name and Title Date
For PeopleSoft Office use only PeopleSoft User ID: Date Created: Created By: Primary Permission List: Password: Functional: Roles: