Web Server FTP Access Request Form
Please fill out the entire form and return it to Shon Lee at WH-B380E, or fax it to (310)516-3877.
Please allow 7-10 working days for the web folder/user account(s) to be set up on the server.

Department:

_______________________________________________________

Folder Name:

_______________________________________________New Site

Name of Person Authorizing Access:

_______________________________________________________

Title:	_______________________	Office:	_________________________
E-Mail:	_______________________	Extension#:	_________________________

Please provide the information below for staff, faculty, and/or part-time employees who are authorized to have FTP access to the department folder on the web server:

Name	E-Mail Address	Add/ Remove	Extension#
		Add Remove
		Add Remove
		Add Remove
		Add Remove
		Add Remove
		Add Remove

By signing below, I authorize the above staff, faculty, and/or part-time employees to upload/download files from the department folder on the web server.

Signature: _______________________________

Date: _______________________

For Webmaster Use Only
User Name:	Password:

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Information Technology
California State University, Dominguez Hills