New Employee Account Request
Part 1: Employee Information
Directions:
HR:
Complete Part 1 of the form below and click submit to sent it to the selected supervisor to complete.
Supervisors:
Review Part 1 and scroll down to complete Part 2 and click submit to to create and IT Ticket to create the user account.
Part 1: Employee Information - To be completed by HR
Job Title
Employee Name
First Name
Last Name
Last 4 digits of Employe SSN
Employee Birthdate
Is Employee a former/current student or previously employed by SCTC?
Student
Employee
Both
Neither
Home Campus
Please Select
Griffin Campus
Flint River Campus
Henry County Center
Butts County Center
Fayetteville
Jasper County Center
Division
Please Select
Academic Affairs
Administrative Services
Adult Education
Economic Development
Institutional Advancement
Institutional Effectiveness and Technology
President's Office
Public Relations & Information
Student Affairs
Department
Please Select
Academic Affairs
Academic Support
Administrative Services
Admissions
Adult Education
Allied Health and Cosmetology
Arts & Sciences, Business, CIS, and Professional Services
Athletics
Auxiliary Services
Bookstore
Campus Safety and Security
Career Placement and Academic Advisement
Crescent Cafe
Distance Education
Dual Enrollment
Economic Development
Enrollment Management
Facilities and Operations
First Responder Programs
Financial Aid
Human Resources
Information Technology
Institutional Advancement
Institutional Effectiveness
Library and Academic Support Services
Maintenance
Marketing
Media Services
Nursing
President's Office
Recruitment Services
Registrar
Student Accounts
Student Activities
Student Affairs
Student Support Services
Technical and Industrial Programs
Tender Tech
Tutoring and Mentoring
Employee Start Date
-
Month
-
Day
Year
Date
Employee Status
Please Select
Faculty - Full Time
Faculty - Part Time
Staff - Full Time
Staff - Part Time
Supervisor
*
Please Select
Acey, Stacy
Adams, Amy
Barbour, Denise
Bell, Nathan
Boisseau, Donna
Brown, Jason
Brumfield, Sean
Bryant, Alexis
Buckley, Candice
Burns, Beth
Chandler, Michael
Clark, Irvin
Cobb, Becky
Cook, Barbara Jo
Cook, Michael
Daniel, Chris
Edwards, Jennifer
Flowers, Monique'
Floyd, Scott
George, Terri
Green, Monica
Hardy, Donald
Hendrix, Steve
Herbert, Eleen
Jackson, Melissa
Johns, Xenia
Lowery, Kristy
Mayer, Kathleen
McCullough, Tyrone
Mercado, Lemuel
Mobley, Lisa
Naggatz, Ben
Pitts, Lori
Register, Kimberly
Risper, Eben
Shiver, Michael
Stanfield, Alan
Taylor, Anna
Todd, Drew
Wall, Brannen
White, Annita
Willis, Samantha
Supervisor Email
Other Notes About This Account
Enter Submission Code
*
I verify that all information is correct
Yes
Name of HR Staff Submitting Form
Please Select
Ginger Mayfield
Beth Burns
Qiana Sims
Part 2: Account Requirements
Part 2: Account Requirements for Employee
Directions: The supervisor will review the ticket submitted by HR and then fill out the remainder of the form to indicate the IT requirements for the employee. Once the form is submitted and IT ticket will be created.
aXs Scanning Software
Yes
No
KMS Level 2 Access (All Faculty Receive Level 1 Access)
Yes
No
Access to Shared Email group
Yes
No
Shared Email Address(es)
Department Network Shares
Yes
No
Please list the name of the Department Shares
Banner Forms Access (All Faculty Receive Banner Web Access)
Yes
No
Banner Permission Level - Please list existing employee permissions to copy
Computer Needed
Yes - New Position
No - Replacing Existing Employee
Enter Name of Employee being Replaced
Phone Number:
Yes - New Phone number will be needed
No - Will use existing phone number
Enter Existing Phone Number
Misc Items
I verify that all information is correct
*
Yes
Submit
Submit
Should be Empty: