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Request a New Contact Account

As an additional authorized user for your institution, submit your information to be added to your institution's Workforce Pell account. This will allow you to assist with submitting Workforce Pell applications.

About This Request

Use this form if you are an employee of an existing Workforce Pell institution and need to be added as an additional contact/authorized user. If your institution does not yet have a Workforce Pell account, please submit an institution request instead.

Note: All fields marked with * are required.

Institution Information

Institution Name *

OPEID * 8 digits only

Your Contact Information

First Name *

Last Name *

Phone Number * 10 digits only (e.g., 1234567890)

Institution Email Address *

Your Title or Role at Institution *

Describe your position or role at the institution 0 / 200

Cancel

Workforce Pell Help Desk: hecc.workforcepell@hecc.oregon.gov