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New User Form

First Name:
Last Name:
MSU Address:
City:
State:       Zip:      
Home Phone #: - -
Office Phone #: - -
Status:
Eng Dept:   if other:
If Student, Enter PID:
If Fac/Staff/Guest, Enter ZPID:
Expected Graduation Date or Project Completion Date:
(for RA, PD, and Guest accounts)
Faculty Email Address:
(This is required only for non-engineering persons not enrolled in engineering classes, so we may contact them and get validation of your account)

Intended Use:
classwork independent study
classwork development unsupported research/thesis work
electronic mail supported research
other if other  
Sponsor:  

If the account is for research, independent study, or a thesis, please write an abstract which describes the topic:


Do you have an account on any MSU system now? YES NO
If yes, what system?  
Username:  


I need an account for an office PC
PC name or room number:

Please Note: By submitting this application for a new DECS account, you agree that the information you have provided is accurate to the best of your knowledge, and that you agree to READ and FOLLOW the DECS User Policy.


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