Account Creation Request

- Study-Service Term
- International Ed.

	GC Computer Account Creation Request NOTE: We are unable to change a username once an account is created, so please be sure to get the employee's username choice before submitting this request.

	*Starting Date
	*Greeting Name (preferred name)
	Middle Initial
	*Last Name
	First Name (if other than greeting name)
	*GC ID Number
	*FTE
	Building
	Office Number
	*Department
	*Supervisor

	*Classification	Administrative Faculty Professor Staff

	Is this person replacing an existing employee?	No Yes, who?

	*Does this person need a Jenzabar EX account?	YesNo

	USERNAME CHOICES: A username must contain identifiers from both the first name and last name. Our standard username format is to use the first name, middle initial, last initial. Ex. John K. Smith would be johnks The employee can also choose an alternate username format from the following three choices: first name, last initial Ex. johns first initial, middle initial, last name Ex. jksmith first initial, last name Ex. jsmith REMINDER: We are unable to change a username once the account has been created.
	Standard username (ex. johnks)	YesNo
	OR, in the space below indicate what your first, second and third choices are for an alternate username that complies with the alternate formats listed above. If your first choice is already in use by someone else, ITS will use your second choice, and so on.
	First Choice:
	SecondChoice
	Third Choice

	*Name of person requesting account
	Note: Username and password information will be emailed to the person requesting this account. If you prefer the information be sent to someone else, please supply their email address below.

	Additional Comments

GC Computer Account Creation Request

NOTE:

USERNAME CHOICES:

REMINDER: We are unable to change a username once the account has been created.

Additional Comments