Please complete and return this form to the attention of ASPIRE, c/o UAH Computer Science Department, along with a signed copy of the Computer Resource Usage Agreement (this agreement can be found at http://www.aspire.cs.uah.edu/accounts/rusage.html).
Please print legibly or type! (Write N/A if item does not apply.)
Date: __________________ Name: ______________________________________________________________ Phone: (day) ______________________ (evening) _____________________ School Name: _______________________________________________________ School Address: ____________________________________________________ Telephone numbers from which you may call using a modem: ____________________________________________________________________ Purpose(s) of Account: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Did you read and sign the Computer Resource Usage Agreement? ______ (Please make a copy of the signed Computer Resource Usage Agreement and file it with your other important papers.)
FOR ADMINISTRATIVE USE ONLY: Username: ______________________ User ID: _______________________ Machine: _______________________ Type of Account: _______________________ Disk Quota (Hard/Soft): ________________________ Account Created By: ___________________________ Date Created: __________________________ Date Deleted: ______________________ Deleted By: ____________________ Verification Notes: ___________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________