(Inaccurate information may result in delay of service)
Employee's Full Name:	(required)
Effective date of transfer:	(required)
End Date of Employment:	(MM/DD/YY)

(DO Supervisor Information Is Required)
Supervisor's Name:
Supervisor's Email:	(DO MEMO address)
Supervisor's Extension:

Complete information is required

	-- FROM --	-- TO --
Location:	-- Select One -- CGCC EMCC DO GWCC GCC MCC PC PVCC RSCC SCC SMCC	District Office
Department:	(required)	(required)
Room Number:	(required)	(required)

(Check All That Apply)

Transferring Email account - MEMO

Was the transferring site technical support made aware of this transfer?   Yes No

CorporateTime (Calendar)

Did the transferee have a Corporate-Time (Calendar) Account at the tranferring site?   Yes No

CFS - College Financials System        A supervisor must send an separate email to verify authorization.

Human Resources (Peoplesoft)         A supervisor must send an separate email to verify authorization.

Student Information System - SIS (District Office)

BDS - Budget Development System (Peoplesoft)         A supervisor must send an separate email to verify authorization.

Network Access (Workstation Login) - Necessary for printing and file sharing.

Please define what servers (ie...file1/deptname) need to be accessed: (PLEASE - DO NOT forget level of access to be granted ... read, write, modify, delete, file scan or full rights)

Type of equipment:	Desktop
	Laptop
Is this equipment?	New
	Reconfiguration
	Add User Configuration
MCCCD Tag Number:	(required)
Make Of Equipment:	(required)
Model Of Equipment:	(required)
IP Address:	(required)
Current Room Location:
Current Jack Number:
Deliver to Room Location:	(required)
Deliver to Jack Number:	(required)
Will data need to be transferred from old computer?
	Yes   policies and instructions for data transfer.
	No
Printers to be available on this machine:
Will there be additional equipment operating with this Desktop:      Local Printer, PDA's etc...please include make and model of additional equipment
QVT Address: (If requesting all ten college they must be listed separately)
dist.maricopa.edu
Non-Standard Software Applications Needed:      Please deliver all software and the licenses to the Helpdesk.       List of supported software
Mapped Drives: (path required, ie ... N- deptname$ on file1)

Telephone Setup

Phone Extension:

Reassign Extension Number:       OR       New Extension       Name to appear on the display:

Voice Mail Box

Long Distance Access Code

ID Badge

Card Keys (Door Location, Hours of Access)

Note: If Lobby Door access is granted, it is a 24 hour access

Door Keys (Room number and/or Hall access)

Please send an email directly to Cindy Moore to schedule an appointment for the new employee to have photo taken for issuance of badge. NOTE: In order to have Parking Permit issued: You must present the following items - license plate number, make, model and color of vehicle.

Would you like the mailroom to be notified of this change? This will minimize any delay in forwarding mail. If there are any questions please contact CopyCenter.

Is there any information or comments you would like to include with this setup?

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