Fillable New User Request Form (Wesley College)

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New User Request Form (Wesley College)

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The New User Request Form (Wesley College) form is 1 page long and contains:

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  • 14 check-boxes
  • 17 other fields

Country of origin: US
File type: PDF

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New User Request Form
Employee Information
Please complete this entire form, print the form and submit it to the Wesley College IT Department
1. Employee Name 2. Job Title 3. Effective Date
4. Name of Supervisor 5. Department 6. Location
7. Status (choose by clicking on the arrow to the right) 8. Position Type(choose by clicking on the arrow to the right)
Technical Information
9. Give new user the same access as:
10. Provide access to the following Software (check all that
apply)
Jenzabar EX MyWesley
PowerFaids Raiser's Edge
Tutor Trac Lantern
CBord e-mail
Other
11. Requesting the following hardware
desktop computer
laptop
cellular phone
desktop phone
Other
12. If "desktop computer" or "laptop" is checked in Q.11, is there an existing computer\laptop for use?
Yes No
13. If "cellular phone" or "desktop phone" is checked in Q.11, is there an
existing phone in place for use?
Yes No
14. If Q. 13 is answered "Yes", what is the
phone number?
Notes and/or Additional Information
Requestor Signature:
_______________________________________
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New User Request Form (Wesley College)

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Completed 4 September 2020

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