CSEE APPLICATION FOR A COMPUTER ACCOUNT
Return this completed form, signed by your advisor or instructor, to the CSEE Student Affairs Office, ITE 325F
Full Name: GL Account USERNAME: Campus ID:
Status:
□Undergraduate Student (Account active until end of current semester) □Graduate Student: (Account will remain active up to 5 years MS / 8 years PhD) □MS □PhD □Non-Degree Student (Account active until end of current semester) □Faculty/Staff (Account active until termination) □Other (Give explanation and include account expiration date):
__________________________________________________________________ Intended Usage:
Signature of Account User:
Date:
ACCOUNT LEADER MUST BE A FACULTY OR STAFF MEMBER.
FOR STUDENTS DOING INDEPENDENT RESEARCH, THE PRINCIPAL ADVISOR MUST BE THE ACCOUNT LEADER. FOR FACULTY/STAFF, THE ACCOUNT LEADER IS THE CSEE ASSISTANT TO THE CHAIR.
Account Leader’s Name (Please print): Account Leader’s Signature: Date:
For Internal Office Use
Date Received: Entered By: Expiration Date: Date Generated: Username: Home Directory:
□ Generated Account
□ Email sent to GL Account