New Hire Request
Please fill out and specify needs for new hardware
Name of User
*
First Name
Last Name
Planned Start Date
*
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Month
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Day
Year
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Name of Requester
*
Requester's e-mail
*
Site Location
*
Hired Position
*
Department
*
Manager
*
Classification of Employee
*
Please Select
Employee
Contractor
Intern
TBD
Computer / Laptop required?
*
Please Select
Desktop PC
Surface Laptop
Tablet
No hardware required
Peripherals Needed (Select all that Apply)
Wireless Mouse/Keyboard
Printer
Scanner
2nd Monitor
Docking Station
Shipping address if hardware requested:
Date Submitted
*
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Month
-
Day
Year
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Date Required By
*
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Month
-
Day
Year
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Submit
Should be Empty: