PDF Version of ECE User Account Form
ECE User Account Form
Please print plainly in all required fields.Name: ________________________________________________________
(as printed on your LOBO card)
Department: (EE or CE) please circle one
Faculty, Class Instructor, or Graduate Adviser: ____________________
(For students not accepted into our department or graduate students)
E-Mail Address: ______________________________________________
(UNM or other email address)
Phone Number: ________________________________________________
(For other contact issues if necessary)
Account Type: (check one)
___ECE Major Student
___Class Account Only (Undergraduate not accepted in our department)
___Graduate Student
___Post-Doctorate
___Researcher
___Faculty
___Staff
Please enter your first choice for a user name: ______________
(Use six to ten alphanumeric characters)
Please enter a second choice for a user name: ________________
(Use six to ten alphanumeric characters)
Account holder signature: ____________________________________
(your signature indicates you have read and understood the ECE Department acceptable use policy)
Date: ________________________________________________________
Faculty, Class Instructor, or Graduate Adviser signature: _____________
Date: ________________________________________________________
Computer Support Group Management signature: _________________
Date: ________________________________________________________
Account Operator signature: __________________________________
Date: ________________________________________________________