The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Lw2viEazGwqEFxdtexYHWKWCVv5FdId2cqD9RZGmgahS9ocP9BiuFGyB8ucGNgHH8kHgJEKGNjv2tCyRZfdH8pijWoXhZ4

Request for new non-UMN REDCap user

This form can be used by a person with a valid University of Minnesota Internet ID account to request that a person who does not have a valid University of Minnesota Internet ID be granted access to the University of Minnesota's installation of REDCap. This might include people from other institutions who are working on your project or local people who are temporarily working on your study but do not and will not have a University of Minnesota Internet ID.

If this is the case for you, and you have access to modifying the User Rights for the project, please complete the form below.

When the new user account is set up, they will receive an automated email that includes their username and a link to set up a password, and we will send you an email letting you know that it is ready to be added to your project.

Thank you!

Survey Started Timestamp

M-D-Y H:M

Please note that this form should be filled out by a person with a valid University of Minnesota Internet ID. If you have a non-UMN REDCap account, then someone else should be filling out this form.

Your name (first and last)

* must provide value

Your University of Minnesota Internet ID

* must provide value

Your email address

* must provide value

Your phone number

* must provide value

Which REDCap project(s) will you be giving this person/these people access to?
("All" is not a valid project. We need one or more actual project names.)

* must provide value

Expand

If you know the last date on which you want this person or these people to have access to REDCap, please enter that date here.
Note that this should NOT be today's date.

M-D-Y

New user's first name

New user's last name

New user's email address

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

Is there another person for whom you want an account created for the same project(s)?

Yes No

reset

New user's first name

* must provide value

New user's last name

* must provide value

New user's email address

* must provide value

An alternative to entering names in the fields above, is to type or paste information about multiple people in this field.

Put each person on a separate line with first name, last name and email address, in that order, separated by commas (with no spaces before or after the comma).

For example:
John,Smith,smith125@xyz.com
Mary,Jones,mjones@gase.org

(Don't forget to fill in the information about the projects to which you will be giving these people access in the field above.)

Expand

Please double check the information that you've entered before submitting the form.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.