As a Dolphin Account-holding user of e-mail services, I understand
that I will be given password-protected access to the Dolphin
time-sharing services for my exclusive use in a manner consistent with
my responsibilities as a representative of a registered University
student group. I agree to maintain and safeguard the secrecy of my
password, so that no others may gain access to my Dolphin account
using my password.
Your PennCard ID number is your 16 digit number appearing at the bottom of your PennCard.
Student Organization :
Requested Account Name:
Requestor's Full Name :
Penncard ID Number :
Phone Number :
School E-mail Address :
To discourage misuse of this form, what is the product of 25x4: