(Latest Revision -- February, 2009

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


If you need a new account, or if you need help with your existing account, please fill out and submit the form below.


#1. Enter your first name:

#2. Enter your last name:

#3. Enter your e-mail address:

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

#5. 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)
#6. Do you have a pre-existing CS Department account?

YES: NO: NOT SURE:
#7. If your answer to #6 is YES, do you remember your password?

YES: NO: NOT SURE:
#8. If your answer to #6 is YES, do you remember your user name (login name)?

YES: NO: NOT SURE:
#9. If your answer to #6 is YES, and you know your user name, please enter it. (If not sure, it's OK to enter a guess.)

#10. Do you have one or more accounts on campus computers that are not in the CS lab? If so, please list the host names of the computers and your user (login) names:

Host Name User Name