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:

TT9AJxbMThKxpb7uYsPjI8C88vno9zqJdxLdj89bT2kKA2e6vokTSmsP9QoGZqQRGfqgqjhCd2prvHz56wHQsrLtPnjHLpRnRy3ogo3RT5SZHrmoVyva3euMP

New Box Account Request Form

Please complete this form to request a new Box account. After your request is received, it will be reviewed by the UNMC Research IT Office (RITO), who will reach out regarding your request.

If you have questions about Box, please contact RITO (rito@unmc.edu).

The option "" can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?

USER DETAILS

First Name:		Last Name:
UNMC Email:

Accounts must be assigned to a UNMC email address!
Please enter your UNMC email address.

Primary Role:

* must provide value

Role (other), please describe:

* must provide value

Please provide the contact details for your primary Supervisor, PI, or Mentor:

Name:

* must provide value

Email:

* must provide value

Role (in relation to you):

* must provide value

Primary College, Institute, or Unit:

* must provide value

Which Department/Division in
______?

* must provide value

Which Department in College of Medicine?

* must provide value

Which Division of ______?

* must provide value

Other College/Institute/Unit - Please Describe:

* must provide value

Other CoM Department - Please Describe:

* must provide value

Box account annual fee ( $115/user) will be charged for the usage between Oct,2023 to Sep 2024( No Proration), Please provide the valid Cost Center Number here ( no dash or space) :

* must provide value

Please list the bill contact's UNMC email:

* must provide value

BOX ACCOUNT — REQUEST DETAILS

Which of the following data storage "use cases" apply to your situation?(select all that apply or select none)

* must provide value

Sharing your files/folders with external collaborators (outside UNMC)

Working with files/folders shared with you by other Box users (UNMC or external)

Working with large files (>5 GB per file)

Working with extremely large files (>25 GB per file)

Storing large amount of data (overall storage >5 TB)

Storing extremely large amount of data (overall storage >25 TB)

None of the above

Note: Since none of these use cases apply, you might be better suited to use one
of the other UNMC-approved cloud storage options (OneDrive, Sharepoint, etc).

Please contact the UNMC Research IT Office (rito@unmc.edu) for more details.

Will any of the following types of data be stored in Box?
(select all that apply or select none)

* must provide value

Unfunded research data

Grant-funded research data

Academic data (e.g. student records, academic research, etc)

PHI or PII data (e.g. identifiable patient or person data, such as encounters, images, medical record numbers, or personal information such as social security numbers, addresses, phone numbers, etc)

Regulatory, Compliance, or Human Resources data

FDA-related data and documents

Files covered under a Data Technology and Control plan

None of the above (i.e. other file types)

Note: FDA-related data or files covered under a Data Technology and Control plan
have restrictions and might not be allowed to use Box cloud storage.

Please contact the UNMC Research IT Office (rito@unmc.edu) for more details.

As part of the new Box contract, we intend to offer several training sessions on how to use Box.

Which form of training do you find most effective?

* must provide value

Group training (online)

One-on-one training (online)

Self-service instructions / documentation

Self-service videos

Other, Please Specify

reset

Other form of training (please describe):

* must provide value

BOX ACCOUNT — SECONDARY CONTACT INFORMATION

It is best practice, and now required, to designate a separate person to be your "secondary contact" for each Box account. This can be your supervisor, mentor, administrator, dean/director/chair/chief, or a colleague/collaborator, and must have a UNMC email address. This designee does not need to have a Box account, nor will they need to have access to your files/folders.
This information would only be used in the case of an emergency, so that someone familiar with your projects or data could help assess and reassign folders within your Box account.Please provide details on your secondary contact below. Alternatively, you can set UNMC Box Admin as your contact.

Designate your Secondary Contact

NOTE: This must be someone other than yourself.

Role of Secondary Contact (in relation to you):

* must provide value

Name of Secondary Contact:

* must provide value

UNMC Email of Secondary Contact:

* must provide value

You cannot be your own secondary contact.
Please select someone other than yourself (i.e. your mentor/supervisor/etc).

Secondary contact must have a UNMC email address!
Please select an individual from UNMC and provide their email address.

Thank you for completing the form, please click SUBMIT below.

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.