Fillable SECTION 1 SECTION 2 ID CARD STOCKTON UNIVERSITY (Richard Stockton College of New Jersey)

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SECTION 1 SECTION 2 ID CARD STOCKTON UNIVERSITY (Richard Stockton College of New Jersey)

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Stockton University
ID Card Request Form
Version 1.0 - 01/04/2019
STOCKTON UNIVERSITY
101 VERA KING FARRIS DRIVE
GALLOWAY, NJ 08205-9441
ID CARD
REQUEST FORM
Card Provisioned
Date Initial
TO BE COMPLETED
BY REGISTRAR OR
ACCESS CONTROL
Employee Signature_____________________________________________________________ Date________________________________________________
IDENTIFICATION CARD RECEIVED
Acceptable Usage Policy Information
SECTION 3
The use of the University ID Card is governed by all regulations established by Stockton
University and is NOT transferable and should be carried at all times. There is a replacement
fee for lost or damaged cards.
For the University’s full Accepable Use Standards, please visit:
https://stockton.edu/information-technology/acceptable-use-standards.html
Notes
Police ID Cards can only be issued by Access Control.
The ID Card types “Associate” and “Contractor” are no-longer in use and have been replaced by the “Affiliate” card type.
For “Affiliate” ID Cards, please refer the individual to Information Security (E-012) or email information.security@stockton.edu
Human Resources Signature____________________________________________________ Date________________________________________________
APPROVED BY HUMAN RESOURCES
ID Card Information
SECTION 2
To be completed by
Human Resources
ID Card Type
Faculty Staff
Adjunct TES
Essential Employee
Police
Last Name First Name
Personal Identification and Information
SECTION 1
To be completed by
Human Resources
Z-Number
Username
Division
Department
Z
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SECTION 1 SECTION 2 ID CARD STOCKTON UNIVERSITY (Richard Stockton College of New Jersey)

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Completed 25 August 2020

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