Application Date:_____________________   (All student accounts need to be renewed at least yearly)

Application for (circle one):	new account		renewal of account write login name:
For semester(s):	Fall 2000	Spring 2000	Summer 2000
Status (circle one):	graduate	undergraduate	faculty	staff	other:_________

Account for which of the following systems:     HPUX ___     IRIX ___     NT ___ Department or Organization: _____________________________________________________

Campus Address: _______________________________________________________________

E-mail Address: ________________________________________________________________

Students need to obtain the following:

Faculty Advisor's Name: ____________________________________________________

Faculty Advisor's Signature: _________________________________________________

On a separate page, please write a brief description (at least 2-3 short paragraphs using complete sentences) of the research project(s) or type of research for which this computer account will be used. This description will be circulated among CGRER members and may be posted on the CGRER WWW server.

I understand that the computer resources of the Center for Global and Regional Environmental Research are only to be used for research purposes related to the goals of the Center. Non-authorized use of the facilities may result in revocation of the computer account. I also have read and understand the CGRER Computer Laboratory User's Responsibilites and The University of Iowa Policy on Acceptable Use of Information Technology Resources and agree to abide by them.

Applicant Signature: _____________________________________________________________

Return to Jeremie Moen in 260 IATL or Jane Frank in 204 IATL.