New Employee Computer Request Form

This form is to be filled out for brand new positions and when current positions have a new employee.

Department Name
Department Contact Name Department Contact Name First Last
Department Contact Email
Employee Information
Is this a brand new position or replacement of a previous employee?

Is this a brand new position or replacement of a previous employee? New position Replacement of previous employee
Is this position funded solely/in part by a grant?

Is this position funded solely/in part by a grant? 100% Grant funded Partly Grant funded Not funded by a grant
New Employee Name New Employee Name First Last
Start Date Start Date / MM / DD YYYY
New Employee NetID

If known
New Employee Position Number

Position number can be found on the PAR or by contacting HR
New Employee Building/Room #
Previous Employee Name Previous Employee Name First Last
If 'New position' was chosen above, enter N/A
Previous Employee NetID

If 'New position' was chosen above, enter N/A
Previous Employee Red Tag #

If 'New position' was chosen above, enter N/A
Previous Employee RFID Tag #

If 'New position' was chosen above, enter N/A
Previous Employee Building/Room #

If 'New position' was chosen above, enter N/A
Computer Information
If a new computer is needed, which type is preferred?

If a new computer is needed, which type is preferred? Desktop Laptop
Are there any special considerations we need to be aware of?
Are there additional software needs specific to this position?