DIMACS COMPUTING FACILITIES
Application for Computer Account
1. Last Name: _________________________________________________
2. First Name: _________________________________________________
3. Last 4 digits of your Social Security Number: ______________________
4. Permanent E-mail Address (Required): ___________________________
5. Are you a :  Post Doc Fellow
 Rutgers Graduate Student
 Long Term Short Term Visitor
 REU Student
 DIMACS Permanent Member  DIMACS Temporary Employee
6. Your Arrival Date: ______________________________________
Your Departure Date: ____________________________________
7. Do you currently or have you had in the past a UNIX Account within
Rutgers University?
 Yes
 No
If yes,
Username: _____________________________________
Machine Host: __________________________________
8. Do you want to be added to the DIMACS Announcement mailing lists:
 Yes
 No
Staff use only:
Login:__________
Group: ____________ Date:________ Rm:______