Faculty/Staff Account Request Form

Requester Information:

Requester's Name
 Requester's Email

New Account Info:

Given Name
 Last Name
EUID
 EMPLID
Title

Location:

Room
 Telephone
Department
Exchange Distribution List(s) (ctrl-click to select multiple)

Notes:

All information must be completed in order to process your application. We cannot process any incomplete or inaccurate forms. This account is for university related work only and cannot be used for commercial purposes or financial gain. All appropriate federal, state, UNT and CoB laws and/or policies apply.