Instructions Thank you for using the temporary account request form. In order to accommodate your request, we need to have the following information provided. Please note that a University sponsor is accountable for all conduct on the University network for the individuals using the temporary account and should be able to vouch for the character of the individual/group requesting access. There are 5 categories of temporary accounts that we grant access to here at the University. 1. Guest and temporary instructors (i.e. Guest speakers or temporary moodle instructors)2. Contractors (This would include both technology and facilities)3. Research Collaborators4. Guests on campus (i.e. SWOTCA convention members)5. University Partners - Members of the community that participate in the business functions of the University (i.e. Board of Governors) Sponsor Information Sponsor Name * Sponsor Title * Sponsor Department * Sponsor E-mail address * Temporary account holder information Name * Title * E-mail * Phone (if available) Format: (xxx)-xxx-xxxx Organization Category of Account * - Select -Guest and temporary instructors (i.e. Guest speakers or temporary moodle instructors)Contractors (This would include both technology and facilities)Research CollaboratorsGuests on campus (i.e. SWATCA convention members)University Partners - Members of the community that participate in the business functions of the University (i.e. Board of Governors) Please explain the purpose for this account * Will the user be on or off campus? * On Both Off When will this account need to be active? Start Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20112012201320142015 End Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20112012201320142015 Is this a new account or a renewal of an existing account? * New account Renewal of existing account Renewal (Please provide the username you are trying to renew) Services/Application Needed * Email Files (Share folder access in all places) VPN Workstation Login Moodle U of L Wireless Share folders that need to be enabled
