Account Information
Account Display Name
*
Account User ID
*
20 character limit, letters & numbers only
Account Description
*
Minimum: Single sentence describing purpose/function of requested account
How do you plan to use the non-person account?
Email communication
Shared computer login
Other
Account Manager
*
First Name
Last Name
Account Manager Net ID
*
Account Division
*
Central Administration
NSSR
Parsons
Lang
NSPE
Mannes
Drama
Jazz
Supervisor Authorization and Approval
*
First Name
Last Name
Supervisor's Telephone Extension
*
Supervisor's Email
*
Supervisor's Signature
*
Submit
Should be Empty: