Faculty/ Staff Account Request Form

Account Request Form

Please fill out all appropriate information and click the SUBMIT button at the bottom. Your request will be automatically sent, and processed.

Any questions/problems can be directed to the Help Desk, (717) 871-2371

Fields labeled with * are required for submission.

Authorization Information

(e.g. 123-456-7890)
New Account Information
(e.g. John A. Doe)

(e.g. 123-456-7890)

Computer Information
Email Access

Additional Application(s)

Please click the submit button only ONCE to avoid duplicate requests