Account Request – SMALL SATELLITE PORTFOLIO

Summary *

Provide User Name and type of request (new, modification, deactivation – e.g. John Smith New Account Request)

Type of Request *

Account Type Requested: *

VPMO – (PORTAL Confluence, JIRA, Mattermost, Bitbucket)
STARGATE 1.0
U-STARGATE 2.0

AFRL Point of Contact Name

The recommended point of contact for providing additional account provisioning information as needed. POC can be Contractor or Gov’t, and is preferably within AFRL/RJEN

User ID (DoD EIP) *

Number on the back of CAC

Name *

First

Last

Organization *

Office Symbol / Department *

Phone *

Email *

Job Title & Grade/Rank *

Citizenship *

Military/CIV/CTR

Position

Cyber Awareness Date *

Date on Certificate

Cyber Awareness Certificate *

Drag & Drop Files, Choose Files to Upload

Upload Cyber Awareness Challenge Certificate

Acceptable Use Policy

Drag & Drop Files, Choose Files to Upload

Upload Signed Acceptable Use Policy

Justification for Access *

Provide a detailed description to allow access.

Contract Number

Contract Expiration Date

Description *

Please provide what type of Workspace is being requested. e.g. XVI dev/ XVI ops/ view only