UNIVERSITY OF PITTSBURGH \ FORM INSTRUCTION GUIDE



FORM TITLE:         SPECIAL PRIVILEGE APPLICATION
NUMBER:             FORM 0032 PITT 1947
PROCEDURE:          10-02-11



ENTER THE FOLLOWING INFORMATION WHERE INDICATED:

    1.    Applicant's Name (Last, First, Middle Initial - Limit
          to 39 Characters)

    2.    University Personal Reference (PR) Number (PNNNNNNNNN).
          Located on the reverse side of the University ID Card

    3.    Campus Address (Room and Building - See SPI 9)

    4.    Campus Telephone (Area Code, Telephone Number, and
          Extension AAA-NNN-NNNN-XXXXX)

    5.    Electronic Mail Address (EMail), i.e., your VAX/VMS
          Cluster Username

    6.    School/Responsibility Center

    7.    Department

    8.    CAP logname

    9.    Signature of Applicant

   10.    Date of signature

   11.    Indicate System on which special privileges are
          requested

   12.    Indicate special privileges desired

   13.    Reason for the Request


_
COMPLETED BY CAP PROJECT LEADER AND FAIS ADMINISTRATOR

   14.    CAP Project Name

   15.    FAIS Account Number (L-AAAAA-SSS)

   16.    Printed name of Cap Project Leader

   17.    University Personal Reference (PR) Number of CAP
          Project Leader (See No. 2 above)

   18.    Campus Telephone (AAA-NNN-NNNN)

   19.    Signature of CAP Project Leader (required)

   20.    Date of Signature

   21.    Printed name of FAIS Administrator

   22.    University Personal Reference (PR) number of FAIS
          Administrator  (See No. 2 above)

   23.    Campus Telephone (AAA-NNN-NNNN)

   24.    Signature of FAIS Administrator (required)

   25.    Date of signature


_
FOR COMPUTER ACCOUNTS

   26.    Approval Signature

   27.    Date sent to RIDC Park

   28.    Signature of person confirming

   29.    Disk Structure

   30.    Expired Files

   31.    Date of Confirmation