Longview Independent School District

Technical Services

Electronic Accounts Application for Employees

Please Note: As of May 15, 1999, all information on this application must be completed before an account will be issued. All information should be given exactly as it is recorded in the official records of Longview Independent School District. If an employee is not in the personnel records of the district, he may not be able to receive an account.

Applicant's first name: ____________________________________

Applicant's middle name: __________________________________

Applicant's last name: ____________________________________

Applicant's social security number OR employee ID number: ____________________

Campus:  ______________________________________________

Please check the type of account you wish to have. Check all that apply.

Please indicate your expected uses for your account(s).

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All user accounts at Longview Independent School District are governed by the current Longview Independent School District Technology Policies and Longview Independent School District's Acceptable Use Policy (AUP). It is recommended that you read all policies and agreements before signing this form. By signing this application, you are agreeing to abide by these policies.

All information on this application is true. I agree to abide by the policies dictated by Longview Independent School District. I understand that these policies may change at any time. I am aware that my electronic account privileges may be revoked for any reason at any time.

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Signature                                                                                      Date

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Office Use Only:

Request is: ______ Granted _______ Denied--Reason: _____________________________

Assigned user name: ____________________ Assigned Server(s): _______________________________

Date of Activation: _____________________ Authorized by: ____________________________