Profile request form

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Institution Profile Creation Request Form

READ FIRST: ONLY Distance Learning or CMS Admins should complete this form.

Form Directions:

Read the Blackboard or Moodle NCLOR Integration configuration instructions available here.
Complete the fields below for the NCLOR staff to set up your institution's shared secret with the NCLOR application.

Note: Please allow 8 business hours for the NCLOR staff to contact you with your shared secret profile information.

* Required

Distance Learning Administrator Contact Information:
First name: *	Last name: *
Email Address: *	Work Phone #: *
Institution Information:
Name of Institution: *
What is the primary course management system you are running at your institution? * What is the secondary course management system you are running at your institution? (if any) Has the NCLOR building block or module already been installed on the CMS? * Yes No

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