SECTION 2 User Account Request Details Employment Type ... · GALLOWAY, NJ 08205-9441 EMPLOYEE...

Stockton UniversityEmployee Email Request Form

Version 1.1 01/24/2019Office of Information Security

information.security@stockton.edu

STOCKTON UNIVERSITY101 VERA KING FARRIS DRIVE

GALLOWAY, NJ 08205-9441EMPLOYEE EMAILREQUEST FORM

Provision De-ProvisionDate DateInitial InitialFINAL

APPROVAL

Please scan and return this form electronically via email:newaccounts@stockton.edu

Alternatively, return this signed form to Information Technology Services (D-127)

Unit Manager ApprovalSECTION 3To be completed by theBudget Unit Manager

Comments

Unit Manager Signature Date

Budget Unit Manager Department

Unit Manager (Print)

Manager’s Technology Punchlist for New EmployeesIs your new employee set up to use technology resources at Stockton? Please visit our website at its.stockton.edu for a list of technology readiness tasks, the Manager’s Tech Punchlist.

Additional Resource Request DetailsSECTION 2aShared Mailbox

Shared Calendar

Email Distribution List

Mailing List

Other (please specify): _________________________________________________________

Shared ResourceRequests

User Account Request DetailsSECTION 2

@stockton.edu Domain Account + Email

Student Worker

Employment Type Account Provisioning

TES

@stockton.edu Domain Account Only

Individual AccountRequests

Adjunct

Issuance New Hire, First Issuance Reactivation

Last Name

First Name

Z-Number

Personal Identification and Information

Requestor Signature

I have read, understand, and will abide by the rules set forth in the Information Technology Services Standards. www.stockton.edu/acceptable-use

Date

SECTION 1To be completed by

the Requestor Username

Z

Requestor (Print)