Alumni Campus Access Agreement

Please complete the Agreement below. Incomplete forms will NOT be accepted.

For any queries, please email to: careerservices.sg@digipen.edu.

Full Name: *
DigiPen Email: *
SIT Matric Number (if applicable):
Mobile number: *
Program: *

Program: BSCS RTIS BSCS GD SEEMS BAGD BFA
Period of request
Trimester Required (Only tick one): *

Trimester Required (Only tick one): January - April May - August September - December

Duration of your campus access will coincide with the start and end date of the particular trimester.
Extension of DigiPen User Account? *

Extension of DigiPen User Account? Yes No

Extension will allow you to access Moodle again.
Access to the computer labs in school

Student drives are still accessible remotely via Dragons Den.

Please note you cannot use the room if there is class taking place. Career and Alumni Services will need at least 2 weeks to process your application.
Do you require lab access? Please indicate which lab: *

Do you require lab access? Please indicate which lab: Pascal McCay Room access not required

Campus access will be the same duration as your DigiPen User account extension.
SIT or CEPAS EZ Link Card Number (16 digit):

If you require room access, this is required to program your card access.
Reasons for request

To facilitate the approval process, please elaborate on why you require an extension of your user account and/or campus access.
Detailed reason(s) for above request: *

Elaborate on why you require the campus access or extension of your user account.
Rules & regulations
I hereby request to access the premises of DigiPen Institute of Technology Singapore ("the Institute") after the completion of my degree program. I understand and agree to abide to all rules and regulations of the Institute and observe the student network usage policy listed in the Student Enrollment Agreement. Furthermore, I acknowledge that it is strictly forbidden to use any equipment in the Institute's premises to produce any commercial work and the equipment is only to be used for my training and preparation of personal portfolio. I also understand and agree that the Institute has the right to terminate my access, at any time by notice in writing. The Institute also reserves the right to restrict my access if the Institute in its sole discretion determines that I have violated any of the terms with in the above mentioned statement or that it is in the best interest of the Institution's students, visitors and/or employees.

I understand that I am prohibited from granting any person other than myself access to the Institute, regardless of whether the person claims, or is known to be, a DigiPen Institute of Technology Singapore student or employee. I may not loan, give, or permit use of, my access badge to any person. Violation of this rule could result in a serious breach of the Institute's security; to the fullest extent permitted by law, I hereby assume responsibility for any related harm or injury.
I acknowledge and agree to the above rules and regulations stipulated by the Institute.
Signature *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Application Date: Application Date: * / DD / MM YYYY

Alumni Campus Access Agreement

Alumni Campus Access Agreement

Period of request

Access to the computer labs in school

Reasons for request

Rules & regulations