BSM ID Card Activation Request

Name*

First Name

Last Name

OKCU Email*

B-Number*

OKCU StarCard Number (16 digits)*

Request Type*

New Student First-Time ID Card Activation Current Student Faculty/Staff

Major*

Instrument/s*

Access Requested*

Practice Rooms (Music/Theatre/Dance) Grand Piano Practice Rooms (Piano Majors Only) Percussion Practice Rooms (Percussion Majors Only) Reed Room A-337 Tuba Storage AL-17 Brass Methods AL-19 String Methods AL-10 Small Ensemble Rooms (requires permission)

Other:

Brass Methods Semester*

String Methods Semester*

Expected Graduation Date*

Each time you attempt to access a space, we have a record. Unauthorized access to any space may result in a fine or revoked card access. Please close rooms and turn off lights when finished with a practice room or storage space.

By entering your name and the date below and/or signing the signature field, you are expressing your consent to sign this document electronically, and affirming its status as legally binding.

Signature*

Type your first and last names here and/or sign with your finger or mouse in the signature area below.

Date/Time*