Form AUX 3.12 (3/08)
UNCW ONE CARD
CAMP CARD REQUEST
and
CAMP CARD REACTIVATION REQUEST FORM
TO:
UNCW ONE CARD OFFICE
1. Please issue a Camp Card(s) as follows:

Camp’s name:
____________________________________________________________________

Number of Camp Card(s) requested:
_____________________________________________________________________

Justification of the need for the Camp Card(s):
_____________________________________________________________________
2. Access and Privilege(s) needed for the Camp Card(s) Being Requested:
[
] Building Access:____________________________________________
(Please list each building)
[
] Meal Plan: _________________________________________________
[
] Seahawk Buck$:____________________________________________
3. Expected Camp End Date: ____/____/____ (Card will need to be reactivated annually.)
4. Reactivate expired Camp Card(s):
 Camp’s name:
____________________________________________________________________

Camp card(s) assigned number(s):
_____________________________________________________________________

Justification of the need for the Camp Card:
_____________________________________________________________________
5. Approval to issue a Camp Card(s) or Reactivate expired Camp Card(s):
_______________________________________________
Signature of Department Head or Director
_______________
Date
(By giving approval for the UNCW Camp Card, the Department
Head and/or Director is responsible for all camp card activity and
agrees to collect the card from the camper at the conclusion of camp
and to retain in a secured place until reactivation is needed.)
_______________________________________________
Signature of Electronic Access Control Administrator
_______________
Date
6. Camp Card(s) Issued or Reactivate expired Camp Card(s):
_______________________________________________
Signature of UNCW One Card Manager
_______________
Date