Domain Account Request Form
Office of Computer & Information Services
Technology Building Room 122
Kean University
(908)737-6000 · support@kean.edu

For OCIS use

Use the form below to request a Kean University Domain Account.

Personal Information

NOTE: Student workers should use their supervisor's phone number and office location.

Account Requests

NOTE: Student workers and graduate assistants are not eligible for a faculty / staff account.

Resource Requests
Ex: O:, U: Ex: Xerox 5678

Account confirmation and password will be E-mailed to the specified email account.
Please check your E-mail within 1 - 2 business days after submitting this form.

I agree that accessing Kean University computing resources and using my assigned user identification and/or password gives the Office of Computer and Information Services permission to review, by any method it deems appropriate, any and all material I store on any system owned, operated and/or maintained by Kean University in order to protect the integrity and security of the system.






Signature of Applicant Date Signature of Department Head, Budget Supervisor or Faculty Advisor Date Printed Name of Department Head, Budget Supervisor or Faculty Advisor

Kean University OCIS Domain Account Request Form · 3/19/2013

Please take the printed copy and obtain proper signature for authorization by your department head/supervisor. Make sure the supervisor signs and prints his/her name legibly. Submit the signed page to OCIS' front office, located at H-122.