CCSP Membership Application, University of Illinois at Urbana-Champaign

		CCSP is a service of CITES Departmental Services of the University of Illinois at Urbana-Champaign
		UIUC > CITES > DEPARTMENTAL SERVICES > CCSP > MEMBERSHIP APPLICATION

	Membership Application Membership includes a subscription to the CCSP listserv, which provides collaborative support and UIUC-specific IT notices. Members are also invited to CCSP Conferences.
	I certify that I provide department-authorized computer consulting to members of my department.
	My department head endorses my involvement in CCSP activities.
First Name
Family Name
Job Title
NetID
Department Head's Name
Department
Campus Address
Mail Code
Telephone
Fax