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Longyear New Hire IT Request Form
Longyear New Hire IT Request Form
Request Type
(Required)
New Hire
Termination
Name
First
Last
Termination Date
(Required)
MM slash DD slash YYYY
Email
Forward Email?
Yes
No
Forwarding Email Address
(Required)
Forward Duration
(Required)
Distribution Group
Company they will be working for
JM Longyear MQT
Able Medical
Northern Hardwoods
Other
If Other
Job Title
Where will they be working?
In House
Remote
Starting Date
MM slash DD slash YYYY
Computer Needs
Standard Laptop
Standard Desktop
Engineering Desktop
Engineering Laptop
Executive Laptop
None
Monitors Needed
Standard Monitor – 24″
Engineering Monitors – 27″
none
How many standard monitors?
Please enter a number from
0
to
100
.
How many Engineering monitors?
Please enter a number from
0
to
100
.
Do you need a docking station?
Yes
No
Copy permissions from the following user account:
Share Access ( i.e. SQL, GP )
Phone Information
Desk Phone Needed
Cell Phone Needed
Stipend Plan Needed
Disk Image Options
JM Longyear MQT
Able Medical
Northern Hardwoods
None
Additional IT needs and or notes
Deactivate ADF Account
(Required)
Yes
No
Block Office 365
(Required)
Yes
No
Hide Email from GAL
(Required)
Yes
No
Comments
57952
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