Employee Hiring, Termination, Services and Account Request Form

Supervisor, please complete the following information to submit, request, modify or remove employee HR information, user accounts or access to the various on-campus systems.

* required

Employee	Last Name First Name
Change name to:
KishID #:*
Requested by:
Email:*
Date Required:
Start Date (if new):
End Date (if terminated):

Type of Request

New Employee

Terminate Employee

Change Department

Change Employee Type

Change Name

Other

Division

Finance and Administration

Student Services

Instruction

Adult Education

Other

Employee Type

Faculty

Student

Employee

Grant Funded

Department or Office:
Position:
Office Room Number (if assigned):
Extension Number (if assigned):

Information Technology Systems

Refresh Computer Image for a New User

Employee E-mail

Telephone

Voice Mail

KishSOS Employee

KishSOS Faculty

General Ledger Inquiry

New Adjuct Faculty Orientation (NAFT) Blackboard Course Access

Please indicate which KishConnect GL account numbers the employee needs to access
View
Approve

Remove Requested System Accounts

Network Access

E-mail

Telephone

Voice Mail

KishSOS

KishConnect: all access

KishConnect: partial (describe in comments section)

Kishnet

Voyager

Facilities

Room Keys

Mail Room

Mailbox

Stationery

Business cards

Comments:

Faculty & Staff Support Links