Cyber Security Lab Access Form

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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:___________________________________________  
   
 

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