Organization Email Account Request Form

Before applying for an e-mail account, please read the Meredith College Email Policy.

*Required Fields
*Name of Organization:
*Applicant:
(first, middle, last)		  
*Telephone Number: -
*Personal Email Address:
Preferred Email Address:
Account Expiration Date:
(format 05-05-03)
( the last day that you will need this email acct)
Purpose of Email Account:

Agreement:

By clicking the SUBMIT button below I acknowledge that I have read the Meredith College Email Policy and that agree to all terms of that policy. I understand that I am responsible for any computing activity carried out using this account. I understand that this email address may be given to others on or off campus.