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Class Account Application

To be completed by Instructor -- one form per class
Ref: Student Accounts and Course Projects

Instructor Information

Full Name (required)
E-Mail Address (required)
Work Phone (required)

Are you a United States Citizen?(required) Yes No

If not a US citizen (ALL fields are required for non-US citizens):

Country of Citizenship:

Type of Visa:

Visa Number:

Visa Expiration Date:

NOTE: If you need an ARSC UserID for yourself, then you will need to fill out and submit the ARSC User ID Application in order to apply for that account.

Class Information

Identifier (required)	(e.g., CS381, ART472, etc.)
Location	UAF UAA other
Title
Schedule	Start Time: End Time:
	Monday Tuesday Wednesday Thursday Friday Saturday

Systems:

Be sure to include Visualization/Access Workstations even if you will only be accessing other systems via the ARSC Visualization/Access Workstations
All students and the instructor for the course must provide proof of citizenship to gain access to ARSC system. Accepted
forms of proof of citizenship are outlined on the account page.
As a limited resource, Discovery Laboratory usage is subject to prior scheduling

IBM Regatta
IBM Power4 HPC System
Linux Workstations
Discovery Laboratory

Students:

	Last Name	First Name	Email	Phone	Has an ARSC UserID?	US Citizen?	Citizenship (if not US)
1					Yes No	Yes No
2					Yes No	Yes No
3					Yes No	Yes No
4					Yes No	Yes No
5					Yes No	Yes No
6					Yes No	Yes No
7					Yes No	Yes No
8					Yes No	Yes No
9					Yes No	Yes No
10					Yes No	Yes No
11					Yes No	Yes No
12					Yes No	Yes No
13					Yes No	Yes No
14					Yes No	Yes No
15					Yes No	Yes No
16					Yes No	Yes No
17					Yes No	Yes No
18					Yes No	Yes No
19					Yes No	Yes No
20					Yes No	Yes No

NOTE: Each student will be required to sign and turn in a copy of the ARSC Account Agreement form prior to having their ARSC class account activated.

Special Hardware Requirements: (e.g., visualization)

Special Software Requirements (e.g., Maya)

Acknowledgement

I understand that the information that I have submitted on this form will be used to evaluate my eligibility for an ARSC resource grant. I attest that the information submitted on this form is true and correct to the best of my knowledge. If my class is granted access to ARSC systems I will read, understand, and abide by the rules, policies, and procedures regarding proper use and will charge my students to do the same.

Name:	Date:

Arctic Region Supercomputing Center
PO Box 756020, Fairbanks, AK 99775 | voice: 907-474-6935 | email:

Country of Citizenship:
Type of Visa:
Visa Number:
Visa Expiration Date: