Rochester EOC Technology New Hire Technology Access Request
New Faculty/Staff Name
New Faculty/Staff Name
*
First
Last
Designation
*
Designation
-- No more choices left --
Workload
*
Workload
Part-Time
Only choose one option.
Person Requesting
Person Requesting
*
First
Last
Requestor Email
*
New Hire Start Date
New Hire Start Date
/
MM
/
DD
YYYY
Department Name
*
Office Name or Number
*
Accounts Needed (Please Check All That Apply):
*
Accounts Needed (Please Check All That Apply):
Argos
Banner
Brightspace
Computer Login
Brockport NetID (Email Address) and Time and Attendance
Telephone Extension
Other Information Needed
*
Other Information Needed
Copier PIN
Long Distance Account Code
Keycard & PIN
Additional Information from Requestor
Submit
