Request Forms

Employee Termination

Posted on April 26, 2017

A form used when an employee leaves employment for SMPH

Posted on April 26, 2017

A form to submit for new employees

New Employee name*
User NetID*
Email*
Phone Number
Your 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=85348
Organization*
Department*
Lab PI*
Job Title*
Building*
Location (Room Number)*
Is this position replacing an existing one?
Name of previous employee
Please 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)
End Date
If Known
MM slash DD slash YYYY
Preferred Orientation Date
We 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
Share Drive access
Please 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*
Computer Setup Notes*
Location of computer? Any Additional Software needed?
Notes

Posted on April 4, 2017

Request for Educational Technology Consulting

Posted on April 4, 2017

Request for Educational Technology Studio Use

Name:*
First Last
Email:*
Course(s):
Timeline:
MM slash DD slash YYYY
Please Select the Product you are Interested in:*
- General Educational Technology Consult
- Instructional Design Consult
- Canvas Consult
- Video Production Consult
- Narrated Presentation Consult
- TopHat Consult
Overview of Project:*
Files Related to the Project:
Max. file size: 10 MB.
If you have a PowerPoint related to the project, we will send you a link to upload your material. *MEO: Please upload ELO Template