New Virtual Server Request Form

New virtual server requests will be reviewed bi-monthly. Scheduled delivery date of new virtual servers will be communicated to the requestor as soon as possible within 3 business days.

Required fields are marked with an asterisk (*)

Personal Information


Departmental Information


VM Server Information

*Recommended Host Name:

* Note: Up to 8 GB in 1 GB increments.
* Server CPU:

* Do Not Include OS, must be a minimum of 5 GB.
Projected Annual Disk Storage
(Optional)
This server needs to interact with another server(s) in the ITS Data Center
List servers the VM server(s)
interact with:
This server requires load balancing
Subnet if known:

Application Information:

What applications will be installed? Include versions:
Type of data on this server:
For more information, see: IT Security Awareness Resources.
Student Records
Medical Records
  Personal Information
  Non-Public Data
  Credit Card Data
  Social Security
  Drivers License
  Faculty Records
  Staff Records
  Not Applicable

Contact Information

Technical Contact:
Technical Contact Cruz ID:

You may be contacted if more information is needed to process your request. You will be notified of the price for this service before final approval.

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