CLA Account Request Form

Account Request

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Server account request form

Accounts for the CLA web server are available for Faculty, Staff and approved Student projects.

This request WILL NOT be processed unless sent by a Cal Poly Faculty/Staff member. This request implies that that person has taken responsibility for the use of the assigned account.
If you have questions contact the CLA Web Server Administrator or phone (756-6376).
Required fields must not be left blank.
Student accounts are good until the end of Spring Quarter in June.

Faculty/Staff Name: (required)

Person ultimately responsible for this account

E-mail Address: (required)

Cal Poly Affiliation: (required)
Faculty Staff Student Other (include special instructions)

Phone Number: (required)

Department: (required)

Proposed use for web account: (required)
Personal Department Web Page Student Special Project Other (include special instructions)

If Student Name:

E-mail Address:

Renew Account

Phone Number:

Department:

Please include any special instructions or comments that you feel are relevant about this request, i.e. account usage, group access, department account, etc.

Please note: Incomplete forms will not be processed.

Tom Dresel
tdresel@calpoly.edu
Date Last Modified: 5/14/01