Requester Information (supervisor or person filling out this form) Requester Information (supervisor or person filling out this form) Department Requester Requester Telephone Requester Email Employee Information Employee Information First Name Last Name Nickname NetID University ID Employee Type - Select -Full-time FacultyPart-time FacultyAdministratorStaffGAStudent Worker Employee Extension (if known) Employee Title Employee Start Date Source - Select -Internal HireExternal Hire For Student Workers Legal First and Last Name Expected Job End Date Nature of work to be done (to help best determine the job title) Proposed hourly rate Estimated number of hours per week Proposed weekly work schedule Please specify if the student should be paid from a special budget? (i.e. a faculty member’s budget) Chartfield Will the student employee be doing any digital design work? Yes No Please note: if yes, the student must complete digital design training Office, or Workstation Location Check if this office currently occupied Yes Functional Area (e.g., Faculty, Student Services) Business Cards - None -Do Not OrderOrder NowWait to Order Keys Keys Keys Semi-master (floor entrances) Specific room / floor keys (please specify) Other: Specified room / floor key Building Access Building Access Building Access Weekdays 8:00 a.m. to 9:00 p.m. 8th Floor File Room Weekends, After Hours, & Holidays (please specify reason) After Hours Access Telephone Extension Telephone Extension Telephone Extension New extension needed Employee should use current extension Please place appearances of the following extensions on phone: Extension Appearance1 Extension Appearance2 Extension Appearance3 Cell phone Create Gallatin Network Computer Account Yes No Student Records/Course Systems Access Select all that apply SIS/Albert CLSS/Courseleaf (Class Scheduling) Academic Memo Management (AMM) Student Records Reporting (UDW+) NYU Connect Perceptive Content (Student Records) School Admissions Tableau Dashboard Will the employee need to send out communications on behalf of their department? (Email Direct) Yes No CMS Access Yes No Access to Hermes Yes No Gallatin360 (Salesforce) Administrator Advising Faculty Services Human Resources Student Services Other… Enter other… Specify the area or type of access needed. Add to Google Groups Shared Drive Access, G: Gallatin Yes No Shared Drive Access H: Digital Assets (photos, design files, etc.) Yes No Shared Drive Access, Other Yes No Special Folders/Access Needed ImageNow Scanning Access for HR Yes No NYU Box Account? Yes No EMS Desktop Client Yes No EMS Approver Yes No EMS Requester (Web Only) Yes No Canva Account Yes No Asana Account Yes No Requires Tableau Desktop/Creator licence Yes No Finance/Budget iBuy Requestor AP-Workflow Initiator AP-Workflow Admin Initiator Student Awards and Reimbursement over SIS (you need to select SIS/Albert in the Student Records/Course Systems Access as well) UDW+ Financial Reporting UPS Campus Ship P-card Employee Travel Card Access to Accounts Payable folder on G-Drive Select all that apply Notes Submit For people in the EU, see information on your privacy rights under GDPR.