The Office of Information Technology

Request for VPN Access

All fields marked with a * are required:

VPN access will ONLY be allowed from Antioch owned computers!

Requestor Name:*
Department:*
Email:*
Telephone Number:*
User ID:*
Type of Operating System:*
Title:*
Campus Location:*
Business Justification:*
Supervisor Name:*
Supervisor E-mail:*

Disclaimer- The Antioch University does not accept any liability for your PC being hacked into via your ISP connection or any Licensing issues or cost that are incurred due to negligence of the owner apart from those provided. This service is to be used for educational and work related reasons as detailed above. The VPN software and passwords are to be used by the user stated above. Any unauthorized access caused by the passing of the passwords and software to a user not stated on the form will lead to prosecution. The University has all rights to disable this account if they deem necessary.

VPN access will ONLY be allowed from Antioch owned computers!

I have read and agree to the above disclaimer:*
Security Code:*

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