Network Services Request Forms
*First Name Middle Initial *Last Name Date of Hire
Date Picker
*Please indicate the person's primary classification below by clicking in the correct Option Button
 Full-Time Faculty  Part-Time Faculty
 Staff - Hourly  Staff - Salary
 Student Employee
*Job Title
*Person being replaced (Enter 'none' if new position)
*Room Number (enter 'none' if the person has no office on campus)
*Office Phone Number
*Campus where office is located
Based on their role, all new hires, are added to relevant email distribution groups, such as everybody@madonna.edu, "dept"@madonna.edu, etc. Please list additional requests for email groups, here:
Please list any shared directory this person should have access to
*Does this person need access to JENZABAR? Yes No
 If Yes, please indicate the modules this person needs access to. Check all that apply:
Admissions Module Advising Module Business Office Module
Student Life Module Registration Module Alumni Development Module
*Does this person need access to JRM? Yes No
*Does this person need access to a network printer? Yes No

If yes, what network printer does this person need to use?
* Requester's email address
Additional Comments
The Approval name must be a department head or manager or this request will not be processed.
Approver Information
*Telephone Number

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