Wireless Guest Account Requests

Faculty/Staff CCIS Email Address:*

Requestor's email address.

Email address to send Login information to:*

This email address will be used as the requestor for our ticketing system. Use your email address if the account needs to be used by multiple people. Otherwise use the email address of the visiting faculty/guest.

Is this account for a single guest, or multiple?*

This determines if we have to allow multiple logins to the same account.

Name of visiting Guest:*

Short description of visiting guests:*

Will be used to determine the name of the wireless guest account.

Start Date:*

Date when the wireless access will activate.

End Date:*

Date when the wireless account will be deleted.

Purpose of wireless account:

Please provide some details as to what the wireless account is needed for if possible!

Wireless Guest Account Requests

Wireless Guest Account Request Form