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Employee Network Account Request Form

After receiving confirmation from the college, each new employee must personally complete the form to ensure they understand and will abide by the college’s Acceptable Use Policy. After the request is received, the account will be created within 2 business days. Your username will be displayed to you after you submit the form but won’t be active until the account is approved and created. Your supervisor will be notified once the account has been created. The temporary password you enter on the form must meet the password complexity requirements and will need to be changed prior to accessing a college computer or webmail. If logging into the network, you will be prompted at that time to change your password. If you are off campus and want to access your webmail, use the Password Reset link located at the bottom of any Clinton Community webpage or located on the left navigation pane on the IT webpage.

User Information:

First Name:*

Middle Initial:*
If you do not have a middle initial use the first letter of your first name.

Last Name:*

Job Title:*



Office Room Number (include building name):

Telephone Extension (if known or otherwise will be assigned):

Temporary Password Complexity Guidelines:
  • Not contain user's name or part of the user's name
  • Be at least 8 characters in length
  • Contain a character from the following categories:
    • English uppercase characters (A throughZ)
    • English lowercase characters (a through z)
    • Base 10 digits (0 though 9)

Temporary Password:*

Confirm Temporary Password:*