Library Media Specialist Form
By completing and signing this form I confirm my participation in the UConn Early College Experience Program, certify that all personal information provided is accurate and will be used to create and/or maintain my University records, and consent to comply with the policies and procedures of the University of Connecticut.
Once this form is submitted we will contact you for your social security number so a University account can be created or reactivated for you. Access can then be granted to UConn’s Library resources. Providing your social security number is voluntary; it is not required. If you choose not to provide your social security number, you must disclose if you have previously been affiliated with the University.