New Employee Information Form Congratulations on your new hire. In order to get your new employee set up and ready to go, we need some information from you. Please complete the form below and hit the "Submit" button on the bottom of the page as soon as possible. If at all possible, we ask that you provide two weeks leadtime, from the time the request is submitted to when it needs to be completed. Thanks for your assistance in this matter.Supervisor's Name*New Employee's Contact InformationName* First Middle Initial Last Division*Title*Office Location Information* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Office Phone*NOTE: If the new employee needs a new phone number set up, please type in all zeros in this field.FAX*Please specify:New PositionExisting PositionIf this position is being replaced, please specify the name of the employee that it is replacing.Start Date* Date Format: MM slash DD slash YYYY Telecommunications NeedsDesk Phone needed? (Curtis Employees Only)YesNoCell Phone*YesNoAccessories Needed Car Charger Bluetooth Headset Case MiFi CardYesNoComputer EquipmentComputer*Using existing computerNew computer neededService Tag Number(Applicable to EXISTING computers only - white tag located on tower of desktop computer or bottom of laptop)EBIT # (If applicable)*Type of Computer Desktop Docking Station Laptop Monitor Program Access Needs SMART SHARP CICS Salesforce Intranet (Editor) Marketing Cloud If requesting CICS access please provide a middle initial. Specialized Software NeedsOnly if Salesforce Associate, please let us know an associate to match their Salesforce Roles and Profile. (Access)What specific shared drives and folders does the new employee need access to?*Please use full path. Ex. \\path\path\ Thank you. UntitledNetwork To Which Printer?(Please specify model of Printer and I.P Address, if directly attached specify model of printer)Additional New Employee Instructions:Any extra information IT or Building Services needs to know. Like cubicle Location or if they prefer a shortened name. Thank you. Furniture/Special NeedsPlease list specific needs below. Chair Lighting Furniture Desk Height Adjusted Ergonomic Needs Office Reorganized Please take a quick inventory of your new hire's office prior to his/her arrival to make sure the following additional items are available. Waste Basket Recycle Bin Chair Furniture Office Supplies * Please make sure that the office work surfaces have been cleaned prior to the new employee's start date.Whom should receive the confirmation email?* CAPTCHACommentsThis field is for validation purposes and should be left unchanged.