Epidemiology and Preventive Medicine - Local Area Network New User Request Form

Please complete and check for accuracy, then click Submit once at the bottom of the page. All fields in red are required.

****If this person is replacing another, please remember to submit a user removal form.****

First Name:     Last Name: 
Title:                 Phone:   Fax: 
Division:          Building:        
Account Type:  Room #  
SOFTWARE

Word, Excel, PowerPoint, Access, Adobe Reader, Symantec Antivirus, Internet Explorer, Firefox, and
UMB Intranet are given to all users. If additional software is required, check the appropriate boxes.

Sas 9.1.2 Microsoft Publisher 2003 CPRS
Helpstar     
other   
Adobe Acrobat 8 Standard (A license must be purchased from Software licensing for $40.)
Adobe Acrobat 8 Professional (A license must be purchased from Software licensing for $58.)
SPSS 15  (A license must be purchased from Software licensing for $260.)

EMAIL DISTRIBUTION LISTS

Select the appropriate e-mail distribution list(s) for this user.

Epi Division-Admins Epi Division Heads Epi Gern
EPI GPC Epi Student - MS Epi Student PHD
Epi Student Resident EPI/TOX Student - Graduate EPI Student MPH
Epi Student Dual-Degree Epi Faculty (requires admin verification)

SHARED DIRECTORIES

Please indicate any special directories needed and indicate Full Access or Read Only.  All users receive full access to their
respective divisions all directory.  i.e. (users/gern etc.)

Read Only   Full Access     
 
Read Only   Full Access
 

Submissions will only be accepted by Directors, Managers, and Admininstrators. Once the account is setup, an e-mail will be sent
to you and the new user with the account details. If you wish to include another person on the e-mail, please enter their email address here:

IIMPORTANT INFORMATION

--If you are using Internet Explorer you may be prompted to click "OK" in order to send the form via email.

--If you are using Firefox, a new GroupWise email will be created, you must send the e-mail to submit the form. Do not change the subject!

--Regardless of the browser used, you will have a copy of the request in your Sent Items folder in Groupwise. This form is designed to
work on a computer with Groupwise installed. If you use a computer without Groupwise, the form may not submit successfully.