Forms Policies

VPN Access Request

Please note:

  • Lead Administrators must submit this form on behalf of the applicant and sponsor. After you complete this online form, it will be emailed to the Lead Administrator for approval. See Procedure 1601 PR.04 and the VPN service page for more information on eligibility.
  • This form is to request access to Yale VPN services for systems or ineligible individuals.
  • Library systems are independently managed. Visit the Yale University Library website to learn more.
Today's date
What type of VPN access request application is this?
Applicant Information
Name of applicant for individual VPN access applications
NetID of applicant for individual VPN access applications
Applicant Department
Department of applicant for individual VPN access applications
Applicant's Yale Affiliation (alumni, conferee, parent volunteer, spouse, etc.)
Please provide a brief description of why you need access to the service or system you indicated above.
Sponsor Information
NetID of the sponsor for the VPN access application
Lead Administrator Information