PREVENTION SCIENCES GROUP

CHECK IN FORM FOR NEW EMPLOYEES

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New Employee Information:

First Name:
Last Name:
Starting Date:
Ending Date (if applicable):
Supervisor/Contact:
Project/Core Name(s):

With which of the following groups is this person associated?
(an email will be sent to key contacts in the selected group with employee info.)

Is there anything else you would like us to know about this person?

 

Location:

Where will this person be sitting? Cube/Office#

Comments (if any) about location?
(ex: this person will be at the above location for 2 weeks before moving to another location)

 

Computer and Email needs:

Will this person use a computer or computer-related resources (email, printers, web, etc.) on our network?

 Yes No
(If Yes, we will send you a System Access Request form which you will need to fill out and return)
Will a new computer need to be purchased for this person? Yes, a Macintosh
Yes, a PC
No, they will be using the computer previously/currently used by
(Name of previous/current user is preferred, though the cube/office # where this computer is located is okay too.)
No, they will not be using a computer
Will this person require email set up? Yes No
Is there anything else you would like to mention with regard to this person's email and/or computer needs?
(ex: move computer, etc.)

 

Phones:

Will a new phone line need to be installed in the above cube/office for this person?

 

 Yes
No, they will use an existing line: phone #
No, they will not be using a phone
What else (if anything) needs to be done to accommodate this person's phone needs?
(ex: add an additional voice mail box, move line, change in service, change in funding,, reset password, etc.)

 

Other Facilities Items:

Will this person need a new door code?
(allows for access into nearly all suites) 		Yes
No, they will use the door code assigned to (enter the user, NOT the door code)
No, they will not use a door code
Will this person need a new key fob?
(allows for access into building during non-regular working hours)		 Yes
No, they will use the key fob previously/currently assigned to
No, they will not use a key fob
Will this person need new office keys?

Yes, for the following offices

No, this person will use the keys previously/currently assigned to and which are for the following offices

No, this person will not use office keys

Will this person need a mailbox? Yes No
Does this person need a cube/office tag?
(small card with employee's name placed outside cube/office)		 Yes No
Is there anything else you would like to mention with regard to this person's needs?

 

Requestor:

Requested By:

Phone:

Email: (an email confirmation is sent to this address)