Network Connection Request

Network Connection Request Form

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 (-).

If your computer is multi-boot, enter all operating systems. Include versions!

How long do you expect this computer to remain on our network? It should not be more than 5 years.

E-mail address of requestor.
How to get the Ethernet Address




Please enter the MAC address, IP address, or assigned hostname of the host this is replacing.

For instance: is this a new computer, is it a computer that is moving, etc.

By clicking above you agree to having anti-virus software installed, Firewall turned on, and automatic updates enabled. If you do not have anti-virus software, it can be provided by the IT support group.