First Name:
MI:
Last Name:
Title:
Phone Number:
Organization:
If OTHER please specify: 
Status:
If OTHER please specify: 
Dept/Major:
NSHE Id Number: 1
Do not enter your SSN
Email Address:
Local Address:
Preferred User Login: 2
Faculty Advisor/Project Name:
Objectives: Explain (1) why you need access to NSCEE resources, (2) how it will help your research/educational goals, and (3) what application software/programming language you intend to use/run.


1 NSHE ID# is the number the university uses to identify individual records. If you do not have a NSHE Id. or do not know it please leave it blank. Please do not enter your social security number.

2 Usernames consist of 2-8 characters, all lower case, first character a letter, remaining characters letters or digits. To specify more than 1 choice separate them with commas.


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