Departmental Visitor
Computing Services Request

Please fill this form in completely

Name:

Main Email:

Institution:

Mailing Address:


1. What are the dates of your visit?
   

Begin Date:

 /
 		/
 		(mm/dd/yyyy)
   

End Date:

 /
 		/
 		(mm/dd/yyyy)

2. Will you be bringing your own laptop?  

yes

no

 If yes..

Do you prefer a wireless or wired connection?
    

wireless 

wired

Will you be using your laptop to deliver a talk?
    

yes 

no

 If yes..

What does that laptop run?
    

Windows 

Linux 

MacOS

What date and time is the talk to be given?
    

Date:

/
 		/

(mm/dd/yyyy)
    

Time:

(hh:mm AM/PM)

3. Would you like access to a desktop workstation?  

yes

no

 If yes..

Which would you prefer?
    

Linux 

Windows 

Solaris

Do you have an account username preference?
    

4. Do you have any other special requests?