MCSR

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USER INFORMATION

First Name		**
Last Name		**
Middle Name
Salutation
Title		**
Institution
If "Other", please specify
Department		**
Address
City
State
Zip Code
Phone Number		**
Fax Number
Email Address		**
Advisor first name:
Advisor last name:
Please select machine(s):		Hpcwoods (Required) Redwood Sequoia
Additional comments (Include justification for special priviliges or for mimosa account)
Password		**
Confirm password		**
Remember username/ passwd for next login (Not recommended if sharing computer!)		**
Email me whenever someone logs into my account from this computer without a password. (Recommended if you choose "Yes" from above options!)		**