New E-mail For:
* First Name         * Last Name       Middle Initial

Date of Hire

Please indicate the person's primary classification below by clicking in the correct Option Button. 
* Status:

Full-Time Faculty
Part-Time Faculty
Staff - Hourly
Staff - Salary
Student Employee
Other    (Explain)

* Title      

* Department      

* Who is this person replacing? (Enter none if new position)      

* Room Number  
(enter none if the person does not have an office on campus)

* CAMPUS where office is located       Livonia Campus Orchard Lake Center Southgate Center SWEEP None

* Office Phone Number      

* Alternate Phone      

* Should this person be included in the public group "Everybody"?       Yes  No

Please list all other public email groups this person should be included in:
Enter each group on a single line with a comma at the end of the line.
Available public groups can be viewed in the global address book in your Outlook client.

 

* Does this person need access to JENZABAR?       Yes   No

If Yes, please indicate the modules this person needs access to?
Check All that apply:
Admissions Module  Advising Module Business Office Module
Student Life Module Registration Module Alumni Development Module

* Does this person need access to a network printer? Yes  No
If so, what network printers does this person need to use?

* Signature of Requester:      
The requester must be the department head or manager or this request will not be processed.
By entering your Name in the box labeled Signature, you are digitally signing your name to this request.

* Requester's e-mail address      

* Requester's phone number or extension      

Who should we send the ID and password to? This person will tell the new person his new ID and password.
* Contact person's e-mail address      

Additional Comments

 

Note: Unless otherwise approved, all e-mail IDs will be FirstInitialLASTNAME; Example Carol Fox would be cfox.
All email IDs are lowercase.  Passwords will be e-mailed to the requester when the request is complete.

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