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Information Resources and Technology

Web Services

Survey Account Request Form

Account Owner Information

Complete sponsor information if applicable:
(Student organizations must be sponsored by the organization's faculty advisor.)

Survey Information

Required Signatures

By checking the box below, I certify that the requested Survey Account will be used for the work specified, that the proposed use of these computing services is justified by the programs of the CSU system. I further understand that unauthorized use of the CSU computing facilities is a violation of Penal Code 502 and, therefore, punishable by a fine not exceeding $5,000 and, imprisonment not exceeding three years and cancellation of accounts.

I have read and understand the above disclaimer.

IMPORTANT: All sponsor approvals will be verified with the person named. Please ensure that sponsor name, email address, and phone number are correct or form may not be processed.