Network Connection Request Form
Hostname
What would you like the computers name to be? Names can consist of a text string up to 15 characters drawn from the alphabet (A-Z), digits (0-9), and minus sign (-).
Vendor
Model
Operating System
If your computer is multi-boot, enter all operating systems. Include versions!
Building and Room #
Owner
Primary User
Faculty Advisor
End Date
How long do you expect this computer to remain on our network? It should not be more than 5 years.
Contact Information
E-mail address of requestor.
Ethernet AddressHow to get the Ethernet Address

ReplacementThis is replacing an existing host.


Please enter the MAC address, IP address, or assigned hostname of the host this is replacing.
Comments
For instance: is this a new computer, is it a computer that is moving, etc.