Information Technology
System Access and Account Generation Form

 

 


Name (First, Middle, Last)
Phone
Dept#





Title
Department

 

Internet CSN SIS    
Network/Internet Web Focus ADS    
E-mail Focus Remote-Access (Dial-Up) Yes No
EDE User Directory Voice Mail Yes No
FRS HRS
Extension
 

 

I
 

(Print Name First, Middle, Last)

have read and understand that access to computer systems and networks owned or operated by Hampton University imposes certain responsibilities and obligations and are subjected to other university policies, local, state, and federal laws. I understand acceptable use always is ethical, reflects academic honesty, and shows restraint in the consumption of shared resources. I am also held accountable for the use of any ID that I will use or have been assigned. It is my responsibility to protect the integrity of accessible systems and to preserve the confidentiality of accessible information as appropriate. I understand my duties and responsibilities in enforcing the Hampton University’s Policy on Confidentiality and Security of the University’s Information Systems.



Signature
Date

Information Systems Use only
 

Initial Passwords

User ID

Network User Name

E-Mail Address