Atkinson Hall > Building Access Request

Building Access Request Form

Please fill out this form to request building access for
Atkinson Hall.

Floor:

Group or Project/Space Contact:

Core Facilities

* Denotes optional fields.

Last Name* :	First Name* :	M.I :

UCSD staff/student/affiliate ID #:
Check here for Non-UCSD

Expiration Date:

If no expiration date is given, undergraduate students’ access will end at the end of the quarter and graduate students’ will end at the end of the academic year.

Occupant/User Email:

Affiliation:
Other

UCSD Home Department :

Company/Organization for Non-UCSD:

Office Number/Open Space:

(If Applicable)

Detailed Description :

*Include Room Numbers If Applicable.

Review and accept the agreements

By clicking on 'Send ' below you are agreeing to the Building Access Policies

Building Access Request Form

Please fill out this form to request building access for Atkinson Hall.

Review and accept the agreements

Please fill out this form to request building access for
Atkinson Hall.