Electronic Accounts Change

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Longview Independent School District
Technical Services
Electronic Accounts Change Form for Employees


Current Account Information
Please enter the following information as it currently appears on the account.

First Name: ____________________________________ Last Name: ____________________________________

Social Security Number OR Employee ID number: ____________________

Username: ____________________________________ Campus: _____________________________________

Account Change
Please check the type of change. Check all that apply. Please note that we will not change your last name unless it is first changed with Human Resources. Name changes will require a new username to be assigned. This means that you will also have a new e-mail address. You will receive an account activation notice for any type of change.

___ First Name Change New First Name: ____________________________________
___ Last Name Change New Last name: _____________________________________
___ Password Reset (a new password will be assigned)

Acceptable Use Policy Reminder
All user accounts at Longview Independent School District are governed by the current Longview Independent School District Technology Policies and Longview Independent School District's Acceptable Use Policy (AUP). It is recommended that you read all policies. By using your account, you are agreeing to abide by these policies.

Applicant's Signature
All information on this application is true. I agree to abide by the policies dictated by Longview Independent School District. I understand that these policies may change at any time. I am aware that my electronic account privileges may be revoked for any reason at any time.

Signature_________________________________________________ Date ____________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Office Use Only:
Request is: ______ Granted _______ Denied--Reason: _____________________________
User name: ____________________ Date of Change: _____________________ Authorized by: ____________________________

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