Request Phone for Employee

Your E-mail *

Enter your e-mail address

New Employee's Name *

Employee Start Date *

Please submit this form at least one week in advance of your new employee's start date

Personnel Action Form Completed *

A Personnel Action Form must be completed and submitted for all new employees. An employee will not be issued a network logon or e-mail address until this form has been received by Human Resources. Contact your Human Resources representative for more information.

Yes
No

Employee Building *

Please select the work location of your new employee

660 West Washington
780 Regent
Lake St
Van Hise

Employee Workstation Location *

Enter the room number or location within the selected building where the employee will be located

Phone Available *

Indicate whether a Cisco phone is already installed at the employee's workstation

Yes
No

Existing Phone

Enter the number assigned to the existing phone if known

Retain Phone Number

Indicate whether the new employee must keep the number already assigned to this phone. This is only recommended if the number is tied to the employee's position (e.g. program assistants, executive assistants, department contacts, etc.).

No
Yes

Request Phone for Employee

Phone Request - New