MIT LNS COMPUTER SERVICES

Application for a User Account

This account will be only for your use. Do not share it.

Please fill out all fields. Leaving fields blank may delay the processing of your request or may require you to resubmit the request with the required information.

LNS Computer Services are funded by United States Department of Energy. Use of these services shall be in direct or indirect support of LNS programs in Nuclear and High-Energy Physics. You will be responsible for the legitimacy of all charges incurred under your user name and account number.

Do you agree to comply with the "LNS Computing Policies" and "MITnet Rules of Use" and "Energy Sciences Network Acceptable Use Policy"?
Athena user name (if any):

Last name or family name (surname):
First name or personal name (firstname):
Middle initial or name:

User name (8 characters or fewer):
Date on which account will expire:
Group leader or supervisor:
Group affiliation:
What is your status at MIT-LNS ?

MIT address:

Building (bldg):
Room:
Telephone:
E-mail address

Comments:

(If you need to write more comments, please send e-mail to accounts@lns.mit.edu.)

Last modified: 2004-10-01