(Latest Revision -- August, 2016

Sign-Up Sheet and Request for Assistance
for
Computer Science Department Computer Account


If you need a new CS Department account, or if you need help with your existing account, please fill out and submit the form below. (If filling in a copy by hand, print legibly.)


#1. Enter your first name:

#2. Enter your last name:

#3. Enter an e-mail address that you actually read:

#4. If different from the previous, enter your "csustan.edu" e-mail address (for example ksmith2@csustan.edu):

#5. Enter your student ID number: (NOT your social security number)

#6. If you are making this request in connection with a Computer Science Department class, please enter the class information:

Instructor
Name
Class Num
(e.g. CS 1234)
Section Num
(e.g. Section 002)
#7. Do you have a pre-existing CS Department account?

YES: NO: NOT SURE:
#8. If your answer to #7 is YES, do you remember the password on your CS Department account?

YES: NO: NOT SURE:
#9. If your answer to #7 is YES, do you remember the user name (login name) on your CS Department account?

YES: NO: NOT SURE:
#10. If your answer to #7 is YES, and you know the user name on your CS Department account please enter it. (If not sure, it's OK to enter a guess.)