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Modify User Form

Fields marked with a red asterisk must be completed. 

 First Name:    
Last Name:    
 * Rice Email Address:    
 Net ID:    
 * Phone Number (___-___-____):  
                     * Classification:    
                          
Add these Funding Sources:    
 Fund Number (i.e. R12345):    Org Number (i.e. 416000):   
Fund Number:                        Org Number:   
Fund Number:                        Org Number:   
     
Remove these Funding Sources:    
Fund Number:    Org Number:   
Fund Number:    Org Number:   
Fund Number:    Org Number:   
     
     
     
Please provide any additional
comments about how your 
User account needs to be modified: