Request a NetID For Use by a Department or Organization

Return to: Computer Accounts, Information Technology Services (ITS), MSC02 1520, 2701 Campus Blvd NE, Room 2005, Albuquerque NM 87131. Phone: (505) 277-8130, Fax: (505) 277-8101

This NetID may be used for such purposes as maintaining a departmental Web page or for departmental email. The NetID will belong to the approving Chair or Director, who may choose to delegate the use of the NetID to one or more persons. These people will be responsible for all use of this NetID.

This is a request for:

____ Department NetID. Name of department: ___________________________

(Requires approval of department chair or director.)

____ Student Organization NetID. Name of organization :______________________

(Requires approval of Student Activities Center.)

Is the organization chartered by UNM? Yes ____ No ____

If not, provide name of faculty/staff sponsor:

_________________________________________________ Phone: _____________

How long will you need the account?_________________________________

Account Contact

Please identify the contact person who will be responsible for maintaining the NetID account and to whom ITS should send emails regarding account management. Note: It is the contact person's responsibility to update the account's Web page, read email as needed and contact ITS with changes to account information, such as new contact person, account termination date, etc.

Contact name: ______________________________________

Email: ______________________________ Phone: _______________________

Desired NetID (3-8 characters, lowercase letters and numbers only) :

___ ___ ___ ___ ___ ___ ___ ___

Department Approval

Name (Chair/Director) ________________________________________ Phone: ________________

Signature: __________________________________________________ Date: _________________

OFFICE USE ONLY

Assigned NetID: ___ ___ ___ ___ ___ ___ ___ ___

Termination Date:___________________ Type:___________

Approval Signature: __________________________________ Date:__________________