NCCS User Administration Request Form
NASA Center for Computational Sciences
Welcome to the NCCS User Services Group Web-site

NCCS User Administration Request Form
(A GSFC Account Request Document)

Because of the need to have the signatures from the NCCS User Administration Request Form on file, the form must be printed in order to be completed. Please print or type all information. Unless labelled as optional, all items are required. No request can be processed unless all required information is provided. Incomplete forms will be returned to the user for completion.

(N.B. You may wish to review the General Instructions and Information for the NCCS User Administration Request Form, prior to completing the form. Detailed (item-by-item) User Administration Request Form Instructions are also available to assist in the completion of this form. You may find it helpful either to read through all of the instructions before attempting to complete the form, or to read the instructions item-by-item as you complete the form. Each item of the form links to its counterpoint in the instructions, e.g. 1a. links to the item instructions for item 1a.)

Section I: Type of Request

Please check only one of the three items in this section:

1a. _____ Userid Addition:
    NASA will choose your NCCS userid, in order to assure userid uniqueness.
   
1b. _____ Userid Modification:
    Enter your NCCS userid and state the nature of the modification on the blanks provided. If necessary, refer to Section II of the form.
   
Userid Modification (specify a userid):                
Nature of Modification:
 
 
   
1c. _____ Userid Deletion:
    A request to delete a userid is a request to remove a userid completely from all NCCS computing systems. Enter the userid to be deleted in the blanks provided. For a deletion request Section II and Section III of the form are optional. See the Instructions concerning the disposition of files of a userid being deleted.
   
Userid Deletion (specify a userid):                

Section II: System Access
2. NCCS Identification Code Question and Answer:
  See the Instructions concerning the NCCS Identification Code Question and Answer. You must remember the NCCS Identification Code Question and Answer that you choose. The NCCS Identification Code Question and Answer are not being used as a password. The NCCS will provide an initial temporary password for your userid. See the Instructions concerning userid passwords.
 
Question: ?
Answer: .
3. Access to NCCS Computing Systems:
  Access to the NCCS internal systems (marked with a red asterisk ( * ) below) requires special permission from the NCCS. See the Instructions concerning access to the NCCS internal systems.
 
NCCS Computing System:
Add:
Modify:
a. Dell PowerEdge 1500SC (calvin) *    
b. Dell PowerEdge 4400 (panini) *    
c. Dell PowerEdge 4400 (webdev) *    
d. Dell PowerEdge 1650 (troy) *    
e. Dell PowerEdge 1650 (login)    
f. SGI Origin 3800 (dirac/DMF)    
g. Linux Cluster (discover)    
4. Access to Non-NCCS Computing Systems:
  For each non-NCCS computing system being requested (i.e. for computing systems not listed at item 3 of the form), please also indicate the System Administrator(s) responsible for the system. (If necessary, use a separate sheet to include more computing systems.)
 
Non-NCCS Computing System (Node or IP Address): System Administrator(s):
Add:
Modify:
       
       
       
       
5. Preferred Shell Program:
  More information concerning the shells available on NCCS computing systems is available. If you specify another shell at item 5f of the form, please be aware that it may not be available on the system(s) to which you have requested access at item 3 and item 4 of the form.
 
Preferred Shell Program:
Add:
Modify:
a. POSIX Shell (sh)    
b. C Shell (csh)    
c. Korn Shell (ksh)    
d. Tenex C Shell (tcsh)    
e. Bourne-again Shell (bash)    
f. Other (please specify below):
 
6. Computational Projects:
  See the Instructions concerning Computational Projects.
 
Computational Project: Principal Investigator's (PI's) Last Name:
Add:
Modify:
               
               
               
               

Section III: User Information
7. Personal Information:
  Enter your name as it appears on your U.S. birth certificate, your U.S. naturalization certificate or your foreign national passport in the blanks provided. If you have no middle name(s), enter the code No Middle Name. If you wish you may also provide your preferred nickname.
 
Gender: (Circle one.) Male. Female.
Last Name: , First Name:  
Middle Name(s):   Nickname (Optional) :  
8. Telephone and Electronic Mail (E-mail) Information:
  Enter your office telephone and facsimile (fax) numbers in the blanks provided. If you wish you may also provide an alternate office telephone number. Also enter your office e-mail address.
 
Office Telephone:   Extension:  
Office Facsimile (Fax):   Extension:  
Alternate Office Telephone (Optional) :   Extension:  
Office E-mail Address:  
9. Employment Information:
  Enter your employment information in the blanks provided. In addition to the name of the Company, Institution or Government Agency that employs you, we will also need to know the name of your Company, Institution or Government Agency Approving Representative ( i.e. your boss ) and your Company, Institution or Government Agency Computer Security Officer, and the office telephone number and e-mail information for both of these individuals.
 
Company, Institution or Agency Name:  
Office
Address: 		 
 
City:   State (or Province):   Zip (or Postal) Code:  
Your Approving Representative: His or Her Office Telephone: His or Her E-mail Address:
     
Your Computer Security Officer: His or Her Office Telephone: His or Her E-mail Address:
     
10. Office Address Information:
  Enter your office address in the blanks provided. If your office is located on-site at the GSFC, please include your GSFC mailstop.
 
Office
Address: 		 
 
City:   State (or Province):   Zip (or Postal) Code:  
11. Citizenship Information:
  Enter your citizenship information in the blanks provided.
 
Country of Birth:   Date of Birth:  
Current Country(ies) of Citizenship:  
  If you are a citizen of the United States of America, please skip to the next item. If you are not a citizen of the United States of America, you must also provide the following information. If you are not currently in the United States of America, enter the code N/A in all three blanks concerning a Visa. If you do not have a Permanent Resident Card (also known as a Green Card), enter the code N/A in both blanks concerning a Resident Alien Number.
 
Passport Number:   Expiration Date:   Issuing Country:  
Visa Number:   Expiration Date:   Visa Type:  
Do you have a Permanent Resident Card (also known as a Green Card)? (Circle one.) Yes. No.
Green Card Number:   Expiration Date:  
12. NASA Badge and Grant Information:
  Provide the information about the NASA Headquarters Co-ordination Office responsible for your NASA Grant in the blanks provided. (You may need to confer with your PI for this information.)
 
NASA HQ Co-ordination Office:  
NASA HQ Co-ordinator (First & Last Name) : His or Her Office Telephone: His or Her E-mail Address:
     
  If you do not have a NASA badge, enter the code N/A in all three blanks concerning a NASA Badge.
 
NASA Badge Number: NASA Badge Color: Issuing NASA Center:
     
  All users of NASA computing systems or information must complete mandatory basic Information Technology (IT) security awareness training. Each NASA facility is responsible for assuring that their employees and contractors have completed this training. If you do not have a NASA badge, you must complete this training through the System for Administration, Training, and Educational Resources for NASA (SATERN). See the Instructions concerning the completion of SATERN Training.

Section IV: Authorizations
13. User's Signature:
  I, the user, have read and I do understand the provisions for non-privileged access and use of NCCS computing resources, as outlined in the NCCS Computing Resources Rules of Behavior. With my signature below I attest that I will abide by these provisions, and I certify that all information provided on this form is true and correct to the best of my knowledge.

In compliance with GSFC Procedures and Requirements (GPR) Security of Information Technology, with my signature below I further acknowledge the following:

  • Unauthorized use of the computing accounts and computer resources to which I am granted access is a violation of Section 799, Title 18, U.S. Code; constitutes theft; and is punishable by law. I understand that I am the only individual to access these accounts and will not knowingly permit access by others without written approval. I understand that my misuse of assigned accounts and my accessing others' accounts without authorization is not allowed. I understand that this/these system(s) and resources are subject to monitoring and recording. I further understand that failure to abide by these provisions may constitute grounds for terminiation of access privileges, administrative action, and/or civil or criminal prosecution.

 
User's Signature:   Date:  
14. Please obtain your PI's signature:
 
PI's Signature:   Date:  
Please Print PI's Name:  
For NCCS Use Only: (The NCCS will obtain the required signature(s) below.)
15. NCCS Authorization:
 
  Date:  
William (Phil) P. Webster's Signature
Chief, Computational and Information Sciences and Technology Office
NASA GSFC Code 606.0
16. Information Technology Security Management Authorization:
 
The access for this userid request has been... (Circle one.) ...approved. ...disapproved.
  Date:  
Information Technology Security Manager's Signature
NASA GSFC Code 704.0
Other Information about this Userid Request:
 
NCCS Userid:                
Level of User Privileges: (Circle one.) Non-privileged. Privileged.
Remote Access Only? (Circle one.) Yes. No.
Date Required Documentation Submitted to GSFC Security Division:  
Foreign National Request Number (from the User's Foreign National Visit Request):          

Point of Contact for Updates, Rejections and Return of Request:

Timothy M. Burch E-mail Adress: support@nccs.nasa.gov
NASA Goddard Space Flight Center Office Telephone: 301-286-9120
Mailstop 606.2 Office Facsimile: 301-286-1634
Greenbelt, MD 20771 USA  

FirstGov Logo + Privacy Policy and Important Notices
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 		NASA Logo Curator: Mason Chang,
NCCS User Services Group (301-286-9120)
NASA Official: Phil Webster, High-Performance
Computing Lead, GSFC Code 606.2

Web Location: https://www.nccs.nasa.gov/usradmin/usaduarf.html
Last Modified: Wednesday, 01-Oct-2008 17:52:24 EDT
Reason for Modification: Modified to include items for the information necessary to process foreign nationals.