Unix Computer Account Request Form

Please DO NOT print this form. When finished, click the 'Continue' button at the bottom, print the RESULTING output, sign it, and take it to office L1-A.

Denotes a REQUIRED entry. Denotes Required if the previous option is 'Other'.

First Name:
Last Name:
Email Address:
Classification/Major/Department: Undergraduate Graduate Non-degree Seeking Faculty in Biology Chemistry Chemical Engineering Electrical Engineering Geosciences Mathematical & Computer Sciences Management Information Systems Mechanical Engineering Petroleum Engineering Physics Pre-Med Other
If Major/Department is not listed, choose 'Other' and specify:
Expected Graduation Date:	May December N/A / 2006 2007 2008 2009 2010 2011 2012 2013 2014 N/A
Machine:	login.ens.utulsa.edu (also linux.ens.utulsa.edu) tatanka.ens.utulsa.edu Other
If the computer you would like an account on is not listed, choose 'Other' and specify:

Submission of this form signifies that you have read and agree to the terms and definitions set forth in the Computer Systems Acceptable Use Policy. Please read it if you have not done so already.