Cyber
S ecurity
L ab
A ccess
F orm
Directions:
Complete
t his
a pplication
b y
p roviding
t he
i nformation
r equested
i n
t he
f ields
b elow.
C IS
majors
w ho
a re
c urrently
e nrolled
i n
t he
C OB
a re
e ligible
f or
J AC
c ard
a ccess
t o
t he
Chandler
C IS
l ab.
B y
c ompleting
a nd
s igning
t his
a pplication,
y ou
a gree
t o
a bide
b y
t he
terms
o f
t he
“ Chandler
C IS
L ab
P olicies
a nd
P rocedures”
d ocument
t hat
i s
p osted
o n
t he
C IS
section
o f
t he
C OB
W eb
s ite
a nd
a vailable
i n
t he
C IS
D epartment
O ffice.
A pproval
o f
t his
request
i s
s ubject
t o
t he
d ecision
o f
t he
d epartment
c hair
a nd
p rivileges
w ill
b e
r evoked
i f
the
a pplicant
v iolates
a ny
u niversity
o r
d epartment
p olicies
r elated
t o
a cademic
h onesty
and
c omputing
r esources.
T he
a pproval
p eriod
e xtends
t o
t he
e nd
o f
t he
s emester
t hat
approval
w as
g ranted.
C IS
m ajors
n eed
t o
r equest
a ccess
p rivileges
a t
t he
b eginning
o f
each
s emester
o f
e nrollment
i n
J MU
f or
w hich
l ab
a ccess
i s
d esired.
Student
I D:
_ ______________________________________________
Student
N ame
( print):_______________________________________
Student
S ignature:__________________________________________
Date
o f
A pplication:_________________________________________
Date
o f
A pproval:___________________________________________