New ECE Account Request

ECE Account Request Form

First Name
Last Name
UCSBnetID
End Date (Graduation date or end of appointment)
Advisor's Name
Email Contact Information (Enter an email address)
SMS Contact Information (Enter an SMS text address)	We will use this information to send you your password.
Cell Phone Provider (Enter AT&T, Sprint, T-Mobile, Verizon, etc.)	We will use this information to send you your password.
Purpose for account
Select Status	Faculty (full-time or part-time) Staff (full-time or part-time) Researcher (Project Scientist, Post Doc, Specialist or Researcher) Visiting (without salary visitors) Graduate student Undergraduate student

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