Science Computer Lab – Barstow 209

Account Application

Date of Application: ____\____\____ Date Received: ____\____\____

Please Print Carefully

Name____________________________________________

Major_______________________ Semester: ____ Fall ____ Spring ____ Summer

Network Login_______________________________(Required)

Current Biology, Chemistry, Earth Science, or Physics courses in which you are enrolled:

I have read the Science Computer Lab Access and Use Policies and agree to abide by these regulations.

Signature: ____________________________________

The Department of Biology and Earth Science reserves the right to deny accounts to students not enrolled in science courses. If you have question about your account, please contact Dr. William Bajjali (x8056). Return application to Barstow 202 for processing.

Date Processed: ____\____\____ Account Generator:______________________

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Science Computer Lab – Barstow 209

Account Application

Date of Application: ____\____\____ Date Received: ____\____\____

Please Print Carefully

Name____________________________________________

Major_______________________ Semester: ____ Fall ____ Spring ____ Summer

Network Login_______________________________(Required)

Current Biology, Chemistry, Earth Science, or Physics courses in which you are enrolled:

I have read the Science Computer Lab Access and Use Policies and agree to abide by these regulations.

Signature: ____________________________________

The Department of Biology and Earth Science reserves the right to deny accounts to students not enrolled in science courses. If you have question about your account, please contact Dr. William Bajjali (x8056). Return application to Barstow 202 for processing.

Date Processed: ____\____\____ Account Generator:______________________