Note: Incomplete forms will not be processed. Account creation may
take up to 8 working hours to complete. The Systems Group will supply
the applicant with a password via telephone or in-person.
Fill in all fields below.
Use the "Print" button on your web brower to make hardcopy of this form.
Click this submit button:
Have the PI and applicant sign the hardcopy form where indicated. Put
the resulting hardcopy in the Systems Group mailbox in the ICESS Mail
Room or mail to: Systems Group, ICESS 3060, UCSB, Santa Barbara, CA
Principal Investigator Signature: X______________________________ date ________
My signature below signifies that I have read and understand the current
UC Office of the President Electronic Mail Policy .
Applicant Signature: X___________________________________________ date ________