Network Account Request

Required fields are marked with an asterisk (*).

General Information
First Name: *
Last Name: *
OSU Phone Number:
Example: (555) 123-4567
OSU Email: *
Office Location: *
Room Number: *
Job Title:
Department: *
Employee Type: *
Special Access Requested

Check any of the following that this account will require:

Enter any additional instructions or special needs below.

Student Supervisor

This information is required only for student account requests.

Supervisor's First Name:
Supervisor's Last Name:
Is the student worker paying the Fisher technology fee on his or her tuition statement? Yes    No

By clicking the Submit Request button you are accepting the terms of the University's Policy on Responsible Use of University Computing and Network Resources.