Maricopa Community Colleges

Technology Support Services
New Employee Setup Form
This form may be completed or submitted by the ITS liaison or by employee's Supervisor. All accounts must be approved by the employee's supervisor.
 
New Employee Information
(Inaccurate information may result in delay of service)
Employee's Full Name: (required)
Preferred Email: @domail.maricopa.edu
Official HR Job Title:
Start Date of Employment: (MM/DD/YY)
End Date of Employment: (MM/DD/YY)
Employee Type:
Department: (required)
Extension:
Office Location:
 
Supervisor's Information
(Supervisor Information Is Required)
Supervisor's Name:
Supervisor's Email: (DO MEMO address)
Supervisor's Extension:   
 
Accounts Requested:
(Check All That Apply)

       A supervisor must send an separate email to verify authorization.

       A supervisor must send an separate email to verify authorization.

      
Budget Users ONLY
       A supervisor must send an separate email to verify authorization.
  Please define what servers (ie...file1/deptname) need to be accessed:
(PLEASE - DO NOT forget level of access to be granted ... read, write, modify,  delete, file scan or full rights)
 
Computer/Desktop Requested Setup
Type of equipment:
 
Is this equipment?
MCCCD Tag Number: (required)
Make of Equipment: (required)
Model of Equipment: (required)
IP Address:
Current Room Location:
Current Jack Number:
Deliver to Room Location: (required)
Deliver to Jack Number: (required)
Will data need to be transferred from old computer?
policies and instructions to prepare for data transfer.
Printers to be available on this machine:
    
Will there be additional equipment operating with this Desktop:
Local Printer, PDA's etc... please include make and model of additional equipment
    
Telnet/QVT Address: (If requesting all ten college they must be listed separately)
    
Non-Standard Software Applications Needed:
Please deliver all software and the licenses to the Helpdesk.
List of supported software
    
Mapped Drives: (path required, ie ... N- deptname$ on file1)
    
 
Telecommunication Services
     Phone Extension:
     
      OR
     
      Name to appear on the display:  
 
Building Security Services
    
    
Please send an email to Roberto Isaac to schedule an appointment for the new employee to have photo taken for badge, issuance of badge, keys and vehicle parking permit.
 
Building Services
CopyCenter.
 
Additional Notes and Comments
Is there any information or comments you would like to include with this setup?
   
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