Account Application Form

Principal Investigator or Project Leader Name (First, Middle Initial, Last Name): [REQUIRED]

Co-Investigators or Co-Workers Names (First, Middle Initial, LastName):

Project Title: [REQUIRED]

Funding Source for Project. Is someone outside your institution supplying research funds (such as NSF, ARPA, DoD funding site, Department of Energy, etc.) or will your institution itself provide funding? Please list your funding source: [REQUIRED]

Project Description. Please provide Statement of Work, Justification, and Project Deliverables descriptions for the project that you will be performing at MHPCC.

Statement of Work (One Paragraph): [REQUIRED]

Justification (One Paragraph): [REQUIRED]

Project Deliverables (One Paragraph): [REQUIRED]

Computational Technical Area of Project. Please indicate the most appropriate technical area or discipline that encompasses the research project. [REQUIRED]
1. CSM: Computational Structural Mechanics
2. CFD: Computational Fluid Dynamics
3. CCM: Computational Chemistry and Materials Science
4. CEA: Computational Electromagnetics and Acoustics
5. CWO: Climate/Weather/Ocean Modeling
6. SIP: Signal/Image Processing
7. FMS: Forces Modeling and Simulation
8. EQM: Environmental Quality Modeling and Simulation
9. CEN: Computational Electronics and Nanoelectronics
10. IMT: Integrated Modeling and Test Environments
Other:

System Requested [Required]
Mana *
Other

* All users of Mana are required to submit to a National Agency Check, or provide clearance verification.

CPU Estimate. Estimate total CPU hours needed per year. [REQUIRED]

Project Start Date: [REQUIRED]

Project Duration: [REQUIRED]

Are you willing to have MHPCC publish your name as a user and supply information about your project to outside sources?
Yes No

Project Title: [REQUIRED]

Project ID Number (If Previously Assigned):

Principal Investigator or Project Leader Name, Email Address, and Phone Number: [REQUIRED]

Applicant Name (First, Middle Initial, Last Name): [REQUIRED]

Social Title:
Mr. Ms. Miss Mrs. Dr. Military Rank: Other:

Remote Email Address: [REQUIRED]

Institution: [REQUIRED]

Employer (If Different Than Institution):

Department:

Building/Room:

Street Address: [REQUIRED]

City: [REQUIRED]

State or Provence: [REQUIRED]

ZIP (Postal) Code: [REQUIRED]

Country: [REQUIRED]

Business Telephone Number: [REQUIRED]

FAX Number:

Citizenship: [REQUIRED]
U.S. Citizen Non-U.S. Citizen

Country Of Birth: [REQUIRED]

Non-U.S. Citizen Passport Or Visa Number:

If Outside U.S., Country From Which You Will Access MHPCC:

Have You Previously Had An MHPCC Account? [REQUIRED]
No Yes

Preferred UserID. Please specify THREE UserIDs of your choice. MHPCC will try to assign one of the following three UserIDs to your account. UserIDs must be between three and eight characters long, and must be alphabetic, numeric, or a combination of the two. If you had a previous MHPCC UserID, enter it for all three choices. [REQUIRED]


Preferred Shell
Users are assigned a default shell on each system:

System Requested: [REQUIRED]
Mana *
Other

* For Mana Access:
I have requested my security office to forward verification of my National Agency Check (NAC) or security clearance to MHPCC Security at 808-879-0718 (FAX)
No Yes

If you request assistance from the Help Desk, MHPCC User Services Consultants may look at your code during troubleshooting. Please indicate your preference: [REQUIRED]
No -- Do not look at my code.
Yes -- Permission to look at my code.

Do You Currently Have A SecurID Card? [REQUIRED]
No Yes

If You Have A SecurID Card, Issuing Organization And Your Principal (i.e., jdoe@XXX.HPC.MIL):