Please fill out this entire form. Press the submit button when you are finished.
The request will automatically be submitted to the Domain Accounts Administrator.
* Designates Required Information
* Public Email Group to add/delete membership in groups:
NOTE: YOU CAN FINE THE PROPER PUBLIC EMAIL GROUP NAMES IN THE GLOBAL ADDRESS BOOK IN YOUR OUTLOOK CLIENT. PLEASE USE THE PROPER GROUP NAME IN THE BOX ABOVE.
Please list all users who should be added to this public email group: Please enter one user per line in the following manner: FirstName LastName, Email ID
Please list all users who should be removed from this public email group: Please enter one user per line in the following manner: FirstName LastName, Email ID
Signature of Requester: By entering your Name in the box labeled signature, you are digitally signing your name to this request. Authorized requesters: Committee chairs, department heads and managers. Requesters Phone Number:
Madonna home page Network Services Home Page