IGB Entry Request Form

Personal Info
As it appears on your passport, driver's license, or I-Card
Leave blank if same as first name
Your NetID is the first part of your Illinois email address. If you have not yet been assigned a netid, leave blank.
9-digit number, found on your I-Card
Please use your Illinois email if you have one
UIUC Contact Info
Preferred Campus Address
Leave blank if preferred address is IGB
Non-IGB campus address room number
Non-IGB campus address building

IGB Appointment Info
Check this box if you will not be working in a lab

If no end date is known, leave blank
When you click submit, your entry form will be sent to staff members in your theme for approval. Once your entry form is approved, you will receive a welcome email with helpful information and next steps.