Request a P&A User Account

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Application for P&A access account

Email *

Department *

Physics

Astronomy

Other:

Name: Last, First, MI *

UCLA ID

Affiliation (We will confirm validity with Department administration - only P&A employees are granted accounts in the Physical Sciences Google Workspace). *

P&A Faculty

P&A Staff

P&A Postdoc

P&A Researcher (Career Staff)

P&A Grad Student Researcher

P&A Teaching Assistant (please specify course you are teaching in Additional Needs below)

Other: Collaborator/Researcher (Other, e.g. Undergrad)

P&A Principal Investigator (or Sponsor) and/or Employment Title *

Preferred Username *

Alternate Username *

Require E-mail address?

Yes, Department Mailbox

Yes, Mail Forwarding only, no P&A mailbox (please specify forwarding address in "Additional Needs" below)

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Require LDAP account for access to Internal Resources (e.g., VPN/Orders App)?

Yes

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Create Home Directory?

Yes

Clear selection

Additional Needs

E-signature: Please enter full name, or if submitting on applicant's behalf, enter name of authorizing individual. *

A copy of your responses will be emailed to the address you provided.

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