Datajack request form

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Please fill out this form if you wish to use your laptop with the classroom or open data jacks on the Camden Campus.
If you are a dorm resident who wants to use wireless access on campus, then you should also fill out this registration form.
Those not living in the dorms who want to use wireless do not need to fill out this form.

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Name:
Address:
City:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	ZIP:
Phone:		University ID #:

 
Status: Faculty       Staff       Student      
Rutgers Email Address:  

Type of laptop:
Windows PC       Mac       Unix       Other  

If Other, please describe:

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If you need help determining your Ethernet or IP addresses, consult the online documentation first,
then contact the Computing Services Help Desk (856)225-6274 (or help@camden.rutgers.edu) if you require further assistance.

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Ethernet (MAC) Address:  
Please Note: The ethernet address is a 12-character string of letters and numbers, for example: 00-1A-3C-FF-AD-23 or 00:1A:3C:FF:AD:23.
Your laptop registration can not be completed without your ethernet address.

This section to be filled out by those living in the dorms.
IP Address assigned to your system:
If you are not viewing this page from your laptop in your dorm room, or the box above is blank, please enter the correct IP address in the box above.
Room Number:
Camden Apartments       Camden Towers

This section to be filled out by faculty or staff using a laptop in an office on campus.
IP Address assigned to your system:
If you are not viewing this page from your laptop in your office, or the box above is blank, please enter the correct IP address in the box above.
Building Name:
Room Number:

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By submitting this application, you agree to abide by the Rutgers University
Appropriate Use Policies and Procedures and to practice established network etiquette.
Violations of either may result in suspension of network access.