I would like to request that the UCard Office open a debit account associated with my UCard. I understand that in order to apply for a UCard debit account online, I must be an active UMass Amherst student or employee, must be at least 18 years of age, and must read and agree to the terms and conditions associated with having a UCard debit account. I also understand that it may take up to two business days to open my account. Applicants under the age of 18 require a parent's signature and must fill out a paper form. Full Name * (Last, First M) Date of Birth * (mm/dd/yy) 8-Digit Campus ID # * I am an Active * Student (Undergrad/Grad/CE) Employee (Faculty/Staff/NENS) Street Address * Town/City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone Number * (xxx-xxx-xxxx) Email Address *
