Account Request Form

CSIS will be moving from Novell to Active Directory!
Read this for more information.

Who is filling out this form? This should not be filled out by a new employee.
First name
Last name
Phone Number
Email Address

All of the fields below are about the person who will be using the new account.
Phone number
First name
Last Name
Email address
User's Department/Division
User's location
(if new account)
Building Floor
Wing Room
 

What File Shares does this person need (ie, T:\CSISAdmin\CIS_Shared or T:\InterDepartmental\Forms), and what rights do they need to those Shares?  Alternatively, you can put in the notes that they need standard rights for a new user in your division.
Shared Folder Rights
Read OnlyRead/Write/Create/Delete
Read OnlyRead/Write/Create/Delete
Read OnlyRead/Write/Create/Delete
Read OnlyRead/Write/Create/Delete
Read OnlyRead/Write/Create/Delete
Any other notes?  What computer will this person be using?  Is the computer to be used solely by this person?

 

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