User Acknowledgement Form
View the Policies

  It is important that each member of the Carlow Community become familiar with our Information Technology policies, as well as how to use the information resources and technologies that are available at Carlow.
       
  I, (please print) ________________________________ understand and agree to the policies governing the suspension of account privileges. I understand that I am responsible for any actions that are conducted using my computer accounts. I will not allow anyone, including family members, friends, classmates, and/or colleagues, to use my network account. I also understand that by signing this form, I am agreeing to abide by these policies.
       
       
 

Please indicate your Carlow group affiliation:

 _______________________________________
 
___ Campus School
   Signature of account user
 
___ Full-Time Faculty
    
 
___ Adjunct Faculty
 _______________________________________
 
___ Sr. of Mercy
   Carlow ID number
 
___ Staff
    
 

___ Student

 _______________________________________
      Date
  Employees: please indicate your department:    
 

___________________________________

    
 

 

 (_____)_________________________________
 

 

   Daytime phone number
       
  ___________________________________________________________________________________________
  OFFICE USE ONLY    
  IT Initials/Date ________________________    
 

Given

    
 

Mailed

    
  ___________________________________________________________________________________________