CPS Administrative Novell Network GroupWise Email Account Request

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					CPS Administrative Novell Network & GroupWise Email Account Request Form

        This form must be completed by a CPS Principal/Department Head or Lead Secretary
        The submitter will be notified by email when the request is complete.
        Teacher/IA Email accounts are not to be submitted on this form. Those requests need to be
         emailed to Theresa Wilson in the ITM Dept by the Tech Coordinator/Lead Secretary at the school.
        To expedite account setup, please make sure the form is filled out completely.
        To make sure users are placed in the appropriate email distribution lists and given the correct level of
         network access, please specify their 2Job Title completely and correctly as given by the HR Dept.

School/Department
Principal/Department Head
Submitted By (must be Principal/Dept Head or Lead Secretary)
Date                           Phone                           Fax
                 Please direct completed requests and questions to Dennis Smith –
                     Email smithden@cps-k12.org, Fax 363-0375, Phone 363-0349


           1                                         2                       3                         4
           Name (Last, First)                        Job Title                  Phone Number             Fax Number
                 6                              8
                  An Administrator at            Previous Employee Status in 7
5
     Add         CPS?

                            Yes     No              Moved to another School/Dept             List School or Department

                 7
                  Replaces this Employee            Left CPS, email account can be deleted         Yes        No
                                                If No, list a date the account can be removed
                 10
                     Employee Status
                      Moved to another School/Dept
9                                                                                       List School or Department
     Delete
                      Left CPS, email account can be deleted      Yes      No
                 If No, list a date the account can be removed           Date:
11               12
   Changes          Please list any other changes/additional information below
Other Info
           1                                         2                       3                         4
           Name (Last, First)                        Job Title                  Phone Number             Fax Number
                 6                              8
                  An Administrator at            Previous Employee Status in 7
5
     Add         CPS?

                            Yes     No              Moved to another School/Dept             List School or Department

                 7
                  Replaces this Employee            Left CPS, email account can be deleted         Yes        No
                                                If No, list a date the account can be removed
                 10
                     Employee Status
                      Moved to another School/Dept
9                                                                                     List School or Department
     Delete
                      Left CPS, email account can be deleted      Yes      No
                 If No, list a date the account can be removed           Date:
11               12
   Changes          Please list any other changes/additional information below
Other Info