Request for WYLBUR and/or VM id

REQUEST FOR WYLBUR AND/OR VM ID Do not use this form if you already have an ID. If you are having problems with your current ID, use the Liaison Referral form instead. {Print this form, complete it, and deposit it in Prof. Popkin's mailbox in Room 913. Be sure to include your instructor's name}

Date ______________

Student name ________________________________________________________

Student ID number ________________

Type of user id requested:

__ WYLBUR

__ VM / SQL

Instructor's name ______________________________________________________

LIAISON USE ONLY __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ Prof. Popkin's home page

Computer Systems Technology Department home page