STEM~Net Internet Address and Domain Name Application

Please note that your application is being made on behalf of your entire School/District Office. As such, it is important that you are authorized to speak for your entire School/District Office, in this matter and that you obtain the agreement of all interested parties within your School/District Office, prior to submission.

Here is a brief explanation of each entry in the application form.

Domain Name Requested: msjh.k12.nf.ca

The Requested Domain Name is the Internet domain name you wish your School/District Office, to be known as. Each School/District Office, must have a unique name and it must be of the form schoolname.k12.nf.ca, or districtname.k12.nf.ca. Abbreviations are encouraged so that names do not get very long. The schoolname, or districtname, should not exceed 12 characters.

School Name: My School Junior High

The official name of the School or School District Office.

School District Affiliation: District #44 - This Area School District

The name of the School District responsible for this school. If this application is for a School District Office, please repeat the name from the previous question.

School Type: Junior High (7-9)

The grade levels in this school. If this is a School District Office, please say District Office.

Description of School:

My School Junior High is a 7-9 school located in St. John's.
It has a population of 376 students and 22 staff members.

Give a short description of the school, including location, student population and staff positions.

School Tech Name: John Dough

The School member that is responsible for computing and networking. If this is for a District Office, please provide the person responsible for computing and networking for the District. This person will be the primary contact person if we need to contact the School/District Office concerning their network or network connectivity.

School Tech Title: Computer Instructor

The official title of the School Technician listed above.

School Tech Postal:

My School Junior High
1234 Main St.
St. John's, Newfoundland
AIA IAI

The postal work address of the School Technician.

School Tech Phone: 709 555 1111

The phone number of the School Technician, including extension (if applicable).

School Tech Fax: 709 555 0000

The fax number of the School Technician.

School Tech Email: dough@stemnet.nf.ca

The Email address of the School Technician.

School Admin Name: Steve Smith

A school administrator's (principal or vice-principal) name. If this is for a School District Office, please provide the Director of Programmes's name.

School Admin Title: Principal

The official title of the School Administrator listed above.

School Admin Postal:

My School Junior High
1234 Main St.
St. John's, Newfoundland
AIA IAI

The postal work address of the School Administrator.

School Admin Phone: 709 555 1212

The work phone number of the School Administrator, including extension (if applicable).

School Admin Fax: 709 555 0000

The fax number of the School Administrator.

School Admin Email: ssmith@stemnet.nf.ca

The Email address of the School Administrator.

District IT Manager: John Smith

The School District IT Manager.

District IT Manager Name:

This Area District Office
66 Central St.
St. John's, Newfoundland
AIC IB2

The postal address of the District IT Manager.

District IT Manager Phone: 709 555 1212

The phone number of the District IT Manager, including extension (if applicable).

District IT Manager Fax: 709 555 3333

The fax number of the District IT Manager.

District IT Manager Email: jsmith@stemnet.nf.ca

The Email address of the District IT Manager.

Connection Type: STELLAR SLIP Line

The type of Internet connection this School/District Office will have. Possible choices include STELLAR SLIP Line, STELLAR Cable Modem and STELLAR null-modem connection. If you wish another type of connection, please explain. Also, if you have a connection from another ISP, please provide the details of your connection and your ISP contact.

Networked Computers: 37

The number of computers that are currently networked in the School's/District Office's physical location for which this application is being made.

Windows based: 30

The number of Windows-based computers that are networked.

Please complete this form with the appropriate information, as explained in each section above, and forward the completed form to:

Dale Fraser
STEM~Net, E-5038
Memorial University of Newfoundland
St. John's, NF
AIB 3X8

Or fax to 709-737-2179.

For STELLAR School Applicants: You will be notified by email once the request for your connection has been sent. You will also be notified when an approximate date of your connection has been determined or if there will be a delay in getting your connection installed and configured.

For Domain Name Applicants: You will be notified by email once your domain name has been appoved or if there is any problems with your application.