New user setup request MCJ

New Employee Information

This form will provide basic information to setup a new employee correctly to access MCJ resources.

First Name *

Last Name *

Title

Department

Office/Direct Phone Number

Cellular Phone Number

Employee Reports To

Employee Start Date *


Computer Setup Information

Is the user’s computer a new or existing machine?

Does the new user need an email setup?

Is the new user replacing an existing user?

What standard applications does the user need access to? Other than, MS Office, Google Chrome, and Adobe


New Employee Hardware

Laptop?

Printer?

Scanner?

Please list other hardware needed for new employee


Requesting Admin Rep

Name

Position

Date

Signature