New Employee Request Form New Employee name* User NetID*If unknown enter NA. SMPH IT can look it up Email* Phone NumberYour department Authorized User (not IT) will need to submit a Cisco VoIP New/Change/Remove Line Request form if appropriate. https://kb.wisc.edu/smph/page.php?id=85348Organization*SMPH AdministrationSMPH Academic AffairsSMPH OtherEbling LibraryICTRClinical Trials EnterpriseCell and Regenerative BiologyMedical History & BioethicsMedical Microbiology & ImmunologyNeuroscienceOncologyPopulation Health InstitutePopulation Health SciencesBiomolecular ChemistryDepartment* Lab PI* Job Title* Building* Location (Room Number)* Is this position replacing an existing one?NoYesName of previous employeePlease also fill out an Employee Termination request if appropriate https://smphit.wiscweb.wisc.edu/documents/employee-termination/ Student Employee*(Student Employee accounts must be renewed at the beginning of each academic year)NoYesEnd DateIf Known MM slash DD slash YYYY Preferred Orientation DateWe would like to spend about half an hour to orientate them and help setup printers and email. So please let us know a time on the new employee’s first day we can stop by. (Optional for Student employee's) MM slash DD slash YYYY Preferred Orientation Time Hours : Minutes AM PM AM/PM Share Drive accessPlease list the specific shared drive folder needed.Effective Date* MM slash DD slash YYYY Supervisor Name* Supervisor's Email* Requester Name* Requester Email* Computer Setup*Inherit ExistingDepartmental Purchase (SMPH IT to setup)Computer Setup Notes*Location of computer? Any Additional Software needed?NotesEmailThis field is for validation purposes and should be left unchanged.