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
Colleague ID number of new employee. Contact HR if Colleague ID is not known
Current First Name
Current Last Name
Title of the employee's position
Provide the username that was issued to the new employee by the Gloucester campus's banner system.
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 - Employee Type
Employee - Employee Type
Computer Needs
Computer Needs
Employee Needs
Employee Needs

Blackboard Learn Course Shell

Other Fields

Your name
Verification Code