InterfaSE Access Profile Request Form

All fields are required to set up a “user profile” in InterfaSE or it may be rejected by the system

Residence Information
First Name		Last Name
Local Address and Apt. Number		City
State		Zip Code
Permanent Phone		Alternate Phone
Email address
Permanent Residence Information
Permanent Address and Apt. Number		City
State		Zip Code
Graduation Information
Applicant Type:	DeVry Alumni	Keller Graduate Student/Alumni
Degree:	AAS	BS	MBA
Program Major:
STOP!!! If you have not graduated yet, do not use this form. Visit Career Services, on the Alpharetta or Decatur Campus. You can also call 404.292.7900 ext. 2350
Graduation Month		Graduation Year
[D# If Applicable]