Fillable Newhire It-access-request - New New Hire Form rev 7

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Newhire It-access-request - New New Hire Form rev 7

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The Newhire It-access-request - New New Hire Form rev 7 form is 2 pages long and contains:

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  • 25 check-boxes
  • 55 other fields

Country of origin: US
File type: PDF

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FILL OUT FORM ON-LI
NE, PRINT, SIGN, & EMAIL
ORU Human Resources Email:
hr@oru.edu
New Employee IT Access Form – Staff/Faculty/Contractor
Please fill out this form in entirety. Z-Number is assigned by HR. Please send this form to
hr@oru.edu. HR will contact IT when this is processed to begin the account creation process.
Fields that do not apply should be filled with “N/A.”
Hire Date: Start Date:
☐ New Network/Email Account Needed Contract End Date:
☐ Staff ☐ Faculty ☐ Adjunct ☐ Contractor ☐ Intern
First Name: Middle: Last Name:
Position Title: Department: Location:
Department Head: Department Phone: Department Contact:
Replacing Whom: Equipment Used By Prior Worker:
☐ Desktop PC ☐ VDI ☐ Laptop ☐ Tablet ☐
N/A
Network Access Request – Must Be Filled Out For Network Drive Access
1
st
Network Drive Location: (Example: “IS \\LXSRV212\74VOL\74VOL1\DEPT” or “My S: Drive”)
☐ Read/View Files Only ☐ Full Access ☐ Expires End Date:
2
nd
Network Drive Location: (Example: “PER \\LXSRV212\74VOL\74VOL2\DEPT” or “My R: Drive”)
☐ Read/View Files Only ☐ Full Access ☐ Expires End Date:
Phone Request – All Information Must Be Filled Out
Preferred Display Name:
Quotes are needed for:
☐ New Number
☐ New Voicemail
☐ New Phone
Long Distance:
☐ None
☐ National
☐ International
☐ Existing Number:
☐ Using Ex
isting Phone
Department Email Access Request – All Information Must Be Filled Out
Department Email Address (Example: admissions@oru.edu for the Admissions Department):
Banner Request – All Information Must Be Filled Out (If Access is Needed)
Banner Screen F/P/R Type of Access Form Owner (Type) Form Owner Signature
F/P/R = Form / Process / Report
Types of Access:
Form Access: Q=Query Only, M=Modify and Query
Process/Report Access: E=Execute, Blank=None
I understand that the access I am requesting for this new employee may contain information that is protected by the Family Education Rights and Privacy Act. (FERPA). I
also understand that the new employee needs to be informed that disclosure to unauthorized parties is a violation of FERPA. When accessing the Banner system, they
will need to understand that they must only access information needed to complete their assigned task. This information may only be communicated to authorized parties
in accordance with the provisions of FERPA.
Department Authorization – All Information Must Be Filled Out and Signed
Hiring Manager Authorization:
First Name: Last Name:
E-mail Address:
Department: Position Title:
Phone Number:
Signature:
Date:
Dean/Dept Head Authorization:
First Name: Last Name:
E-mail Address:
Department: Position Title:
Phone Number:
Signature:
Date:
Account Information – HR & IT Only
Z – Number Account Name: Department Name:
U: Drive Container: S: Drive Path:
PIDM:
_____________________________________________________
______
_____________________________________________________
______
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Newhire It-access-request - New New Hire Form rev 7

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Completed 27 February 2020

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