This document is a membership and software request form for Microsoft Business Applications for an academic community. It requests information in five sections: 1) Educational institution details, 2) Primary contact, 3) Business applications requested and number of users, 4) Implementation plan details, and 5) Partner information if working with a Microsoft Dynamics partner. The completed form should be returned to BAAC@Microsoft.com to request one or more applications for educational use.

1. Page 1 of 2
Please complete and return this form to BAAC@Microsoft.com. If you are requesting more than one
application, please describe how each application will be used, as well as the number of users. Please
complete all fields.
SECTION ONE: Educational institution information
Institution name:
Institution address:
Institution website:
SECTION TWO: Primary contact
Contact name, title:
Department:
Email:
Phone:
SECTION THREE: Business applications requested
Microsoft Dynamics
Business Application(s): ☐ Microsoft Dynamics 365 for Finance and Operations (on-premise)
☐ Microsoft Dynamics 365 Business Central (on-premise)
☐ Microsoft Dynamics NAV 2018 (on-premise)
☐ Microsoft Dynamics GP 2018 (on-premise) for selectedregions.
☐ Microsoft Dynamics 365 Customer Engagement Plan (online)
Number of users:
Membership & Software
Request Form
Microsoft Business Applications
Academic Community

2. Page 2 of 2
SECTION FOUR: Implementation plan (please include details)
Courses where the application(s) will be used:
How the application will be used:
Timeline and plan for installation:
How did you find out about the program?
Additional comments:
If your institution is working with a Microsoft Dynamics partner, please complete the following section.
SECTION FIVE: Partner information
Microsoft Dynamics partner organization:
Contact name:
Contact email:
Contact phone:
Partner organization website:
Please indicate how this Microsoft Dynamics partner
will support your program (i.e. implementation,
internships/co-ops, hosting, guest lecturers):
If you would like to work with a partner or find out how this can benefit your school, you can look up
potential partners in your region here: https://dynamics.microsoft.com/en-us/partners/find-a-partner/

3. Page 2 of 2
or contact BAAC@Microsoft.com for more information.