UCCS Wireless Access Point Request Form

This form is used to request setup of a wireless access point on the UCCS Campus.
Private access points may only be used for research and must have access blocked to the rest of campus and internet.
Any wireless access point on the UCCS Campus not registered with UCCS IT Dept will be shut down.
Wireless 802.11N access points must not operate on 2.4Ghz 40Mhz channels.

Owner/User Information:

E-mail:

Must be in the form of username@uccs.edu

Username:

UFP Username

Department:

Offical Department name

Why is a private AP needed?

Device Information:

AP Manufacturer:

Example: Cisco, Linksys

AP Model:

Example: WRT54G

Wireless Technology:

Building AP is in:

Building

Room Number AP is in:

Room number

Building Antenna is in:

Building

Room Number Antenna is in:

Room number

Signal Strength:

Example: 100 mWatts

Channel Used (2.4Ghz):

Security Information:

Encryption Used:

Example: WPA2 (WEP and WPA are not considered secure)

Authentication Used:

Example: Radius Server (MAC filtering is not considered secure)

Network Information:

Wireless MAC Address:

Example: 00:11:22:aa:bb:cc

Wired Ethernet MAC Address:

Example: 00:11:22:aa:bb:cc

IP Address of Wired Etherent:

Example: 128.198.x.y

DNS Name/Host Name:

Example: eas-ap-sec0

SSID:

Note: SSID can not be broadcast

By submitting this form I am verifying that I have read and understand:

ALL UCCS Policies
with special attention to policies directly related:
700-002 Responsible Computing
700-003 Information Technology
700-004 Wireless Network
700-005 UCCS computer security policy
and ALL CU System Policies
that it is my responsibility to make sure the AP and any traffic through it is secure and not compromised
that wireless networking is not secure even with WEP and MAC address filtering
that any security breaches via my AP can results in shutdown of AP, disabling of network access to the AP and/or remove of the AP.