Stockton University
Employee Email Request Form
Version 1.2 01/27/2020
Office of Information Security
information.security@stockton.edu
STOCKTON UNIVERSITY
101 VERA KING FARRIS DRIVE
GALLOWAY, NJ 08205-9441
EMPLOYEE EMAIL
REQUEST FORM
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 Approval
SECTION 3
To be completed by the
Budget Unit Manager
Comments
Unit Manager Signature Date
Budget Unit Manager Department
Unit Manager
(Print)
Manager’s Technology Punchlist for New Employees
Is 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 Details
SECTION 2a
Shared Mailbox
Shared Calendar
Email Distribution List
Mailing List
Other (please specify): _________________________________________________________
Shared Resource
Requests
User Account Request Details
SECTION 2
@stockton.edu Domain Account + Email
Student Worker
Employment Type Account Provisioning
TES
@stockton.edu Domain Account Only
Individual Account
Requests
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 1
To be completed by
the Account Holder
Username
Z
Requestor (Print)
