Name of Applicant
Official UConn E-Mail address
Details of the account will be sent to you through the mail.
Netid of individual who will be using this account:
* (will be assigned for new accounts)
Instructor accounts are active for the academic year.
Check Appropriate Semester
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 computer 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 this account until I have determined that the individual understands the rules and agrees to abide by them.
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 Office
196 Auditorium Road, Unit 3138
Storrs CT 06269-3138
DO NOT WRITE BELOW THIS LINE -
FOR OFFICE USE ONLY***