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Stockton UniversityEmployee Email Request Form
Version 1.1 01/24/2019Office of Information Security
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:[email protected]
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)
