External Affiliate Sponsorship Request Form

Please be sure that prior to completing this REDCap survey, you have submitted an "External Affiliate Login" service request in SPARCRequest. You will be asked to provide your SPARC request number below.

Complete this form to extend an existing External Affiliate sponsorship, terminate an existing one, or to request a new "External Affiliate Login". This type of limited access login is appropriate for non-MUSC research staff (i.e. community partners, off-campus staff) who, for study purposes, need access to the eIRB, REDCap, CITI training, and/or SPARC Request systems. Access will be restricted to these four systems.

If a MUSC email address, badge, or access to any other MUSC systems (ex. MUSC library, Epic, etc.) is needed, investigators should contact University Human Resources to obtain a traditionally sponsored MUSC NetID with all privileges.

Questions? Contact the SUCCESS Center at SUCCESS@musc.edu.

Please select one response below

* must provide value

I am requesting an extension for an existing External Affliate NetID

I am requesting termination of an existing External Affiliate NetID

I am requesting a new NetID for an External Affliliate

reset

Confirm Type of Access Needed

* must provide value

This affiliate will need access ONLY to one or more of the following research systems:
(1) eIRB
(2) SPARCRequest
(3) CITI Training
(4) REDCap

This affiliate will require additional access to other MUSC systems (ex. MUSC library, Epic, etc.) or an MUSC email address or badge.

reset

STOP. An external affiliate NetID will not meet your needs. You will need to contact MUSC Human Resources to obtain a traditionally sponsored NetId for your affiliate.
Please close this survey and contact HR.

SPARC Request ID # (SRID)

* must provide value

External Affiliate's First Name

* must provide value

External Affiliate's Middle Name

External Affiliate's Last Name

* must provide value

External Affiliate's Email Address:

* must provide value

External Affiliate's NetID

* must provide value

External Affiliate's Date of Birth

* must provide value

M-D-Y

Termination Request Completed by:

* must provide value

Has this External Affiliate ever been issued a NetID in the past?

* must provide value

Yes

I don't know

reset

What is the NetID previously assigned to this External Affiliate?

First name of person who will be sponsoring this affiliate NetID

* must provide value

Last name of person who will be sponsoring this affiliate NetID

* must provide value

Sponsor email address

* must provide value

Attestation

* must provide value

By signing and submitting this form, I am sponsoring an External Affiliate NetId for the individual named above so that they may access the eIRB, REDCap, CITI training, and SPARC Request systems as required for their role on this project. This External Affiliate NetId is valid for a period of one year, at which time the NetId must be re-authorized in order for continued access.

Sponsor Signature

* must provide value

Add signature

NetID assigned

Date Issued/Extended

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.