MS EXCHANGE ACCOUNT APPLICATION

Name: ___________________________________ Date: ___________________________

Social Security # : _________________________ Dept. Account: ___________________

Department: ______________________________ Office Location: __________________

Employee Type:

□ Faculty □ Administration & Staff □ Other: ________________

A USERNAME and a PASSWORD are required to access your Exchange account. Your username will normally consist of your last name followed by your first initial (e.g., for John Smith - smithj). Your Exchange password will be initially set to your social security number. The user will NOT be forced to change this password after the first login.

User’s Signature: _________________________________ Date: __________________

Approval:

Supervisor’s Signature: ____________________________ Date: __________________

To access your Exchange account, specific software needs to be installed and configured on your PC. This installation takes approximately 30 minutes to be completed. It is recommended that the user is present at some point during this time so questions can be answered and instructions delivered. To make this possible, please indicate below the more convenient days/times for you (do not specify dates) in order for the installation to be scheduled accordingly.

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For Office Use Only

MS Exchange Username: ________________________________