NEW EMPLOYEE SETUP FORM - TUSCULUM FORMS

New Employee Information

Employee Legal Name*

First Middle Last Suffix

Employee Preferred Name*

Position Title*

Alternate/Personal Email*

Location Information

Site Location*

Please select the primary site location for this employee

Building*

Please select the building

Room Number*

Please enter the room number

Phone Extension

Please enter the phone extension (if known)

Effective Date*

Please enter the needed by date

Supervisor Name*

Please enter the employee's immediate supervisor.

First Last

Department

Please enter the department

IS Department

Please select the employee's requirements below.

Needs Email account using preferred name?

YES
NO

Needs access to Colleague?

YES
NO

Needs access to CRM?

YES
NO

Needs access to Self-Service (WebAdvisor)?

YES
NO

Needs access to Canvas?

YES
NO

Issue Hardware?

YES
NO

Hardware to issue

Computer
Printer
Other

Other Hardware

Issue Software?

YES
NO

Please list software

Issue Office Phone?

YES
NO

Is there an existing phone?

YES
NO

Extension

Previous operator

Post Office

Campus Post Office Box Number

Facilities

Issue furniture

YES
NO
N/A

Issue Keys

YES
NO
N/A

Webmaster

Add to Campus Directory

YES
NO

Employee Title

Dr.
Mr.
Ms.
Mrs.

Switchboard

Employee Extension

Add to Phone Directory

YES
NO

Add to Pioneer Alert

YES
NO

Issue Employee ID Card*

YES
NO

Acknowledgement

By clicking submit, this form will be submitted to the Tusculum University HR. Notification of other offices will be determined by the information provided on this form.