New Account Form

This form will create a new account request which will be e-mailed to your account sponsor for approval. Once your sponsor approves your request, your account will be created and you will receive an e-mail with further instructions for setting your password and logging in to your account.

Please use proper capitalization and punctuation where appropriate; the data you enter here will be used verbatim when your new account is created.

Application Information
Enter the CruzID that should be attached to this account. This may be left blank if there is no CruzID for this account.
Enter a first name only. Do not include any prefixes, middle names, nick names or initials.
Enter a last name only. Do not include any suffixes, middle names, nick names or initials.
Enter a full name, including any prefixes, suffixes, middle names, nick names or initials.
Enter the best phone number to contact with questions about this account.
Enter a non-BSOE e-mail address to contact with questions about this account. This will also be used as a password reset e-mail address.
Select which department should be associated with this account.
Select the name of the person who will sponsor this account.
If you have filed an NRI with the UCSC registrar, please check this box. This will cause the BSOE systems to anonymize your account as much as possible such that your first and last name will not be displayed to the general public. This option is only available to undergraduate students, graduate students and alumni.
If there are any comments or special instructions, please enter them here.
Captcha

This captcha prevents automated SPAM bots from filling out this form. Please enter the two words you see into the space provided.

Agreement

By submitting this application, you are agreeing to be bound by the BSOE acceptable use policies.