Technology Account Creation Form (Cumberland)

This form is to be completed by the Supervisor of the new hire or by one authorized to complete on behalf of the Supervisor.
Start date of the employee
Contact HR if Employee ID is not known
Office Phone Needs
Office Phone Needs
Current First Name
Current Last Name
Title of the employee's position
The employee's email address should be formatted, like this: username@rcsj.edu
Required so IT can email inform employee of completion of this request.
Is the person that is being hired a new position or replacing an existing position?
(if applicable)
Helpful when replicating user settings.
Employee Type
Employee Type
Computer Needs
Computer Needs
Employee's Needs
Employee's Needs

Placeholder

Other Fields

Your name
Verification Code