Homepage Services Application - Accounts - UITS

Homepage Services Application for Class Accounts
Name of Applicant
NetID:		Phone:
Title
Department
Address
Official UConn E-Mail
Details of the account will be sent to you through the mail.
NetID of Individual who will be using this account:
Check one:	* NEW RENEWAL CHANGE
Homepage ID*	*(will be assigned for new accounts)
*Instructor accounts are active for the academic year.*
Check Appropriate Semester: Fall Spring Summer
Course Number
Please also complete the next two lines if you wish individual accounts for the students
Number of sections:
Maximum number of students per section:
New accounts are allocated 20 MB permanent disk space. Please see http://homepages.uconn.edu* for additional information.*
I agree to abide by the rules governing the use of computing resources. I have read Individual Responsibilities with Respect to Appropriate Use of Information Technology Resources found on http://itpolicy.uconn.edu/ . I will not allow anyone to use these accounts until I have determined that the individual understands the rules and agrees to abide by them.
*Signature of account holder*:____________________________Date:___________
*Signature of depts. dean/director:*________________________Date:___________
*Fill out, print, sign and fax to: 486-4131 or send to:* UITS Help Center /Accounts 196 Auditorium Road, Unit 3138 Storrs CT 06269-3138 *PLEASE DO NOT WRITE BELOW THIS LINE - FOR OFFICE USE ONLY*

UITS: Accounts