Computer Services

Domain Logon Account Application

Please complete the following form to request a MSC domain account. The more descriptive information you provide significantly helps the process.

Print out the following form and deliver to CTS with appropriate signatures. Domain Account Authorization Form

First Name:

  

Middle Initial:

  

Last Name:

No Middle Initial:

Address:

City:

State:

Zip:

Department / Description

Job Title:

  

Full-Time Staff 

Full-Time Faculty

Adjunct Faculty

Temp Worker

Student Worker
   

I have a UAA Webmail Logon

@uaa.alaska.edu
 

Home Phone:                    
Make phone number available to students

Work Phone:                  
Make phone number available to students

Cell Phone:
Make phone number available to students

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