Network, Email and Calendar Accounts require a Harvard ID number and are automatically provisioned as of the start date
shown in PeopleSoft of MIDAS.
First Name: *
Last Name: *
First 4 digits of Harvard ID Number: *
Start Date: mm/dd/yy *
Office Address: *
Phone Number: *
Employee Status
Harvard FTE
Other
(Harvard Student, Consultant, Temp etc)
If Harvard Full Time Employee
New Hire
Other Hire (please check one):
Transfer
Add concurrent position
If employee is from within Central Administration, please provide UNIVERSITY ADID (e.g. jhh432):
If employee is from another part of Harvard, please provide deparment name:
If replacing former staff, please provide name and UNIVERSITY ADID (e.g. jhh432):
Other Employee (Please Check one) :
Harvard Student
Note: Email and Calendar accounts for Harvard students are granted by exception only.
POI/Consultant/Vendor/Sponsored Contractor with HUID
Note: Prior to submitting this form, please complete a Special Card Request Form found on the Harvard ID Services website.
Will this employee need an email and calendar account?
Yes
No
Other Temporary Staff
Note: Harvard Student and Temporary Staff accounts expire at 90 days and are non-renewable. To avoid a break in network access,
please extend the employment term in PeopleSoft and request a new account in advance of the 90-day time period.
Will this employee need an email and calendar account?
Yes
No
Network Access
Please check all needed below:
Setup access similar to an existing employee?
Yes
No
Existing employee name:
Department standard G drive access needed?
Yes
No
Any other network shared drive access needed:
Path of specific network folder
(e.g. \\ca1\uis-gen\folder_name):
Does employee need access to Shared Email Account(s)?
Yes
No
If yes, please list name(s) of mailbox(es)
Employee Computer
Will employee use an existing department computer?
Yes
No
If Yes, please complete the following information:
Desktop Windows
Laptop Windows
H-tag #:
Note: Computers hard drive will be reimaged for new employees
per DLS policy. All data on hard drive will be permanently removed
when drive is reimaged.
Computer Location:
If any data from previous employee is needed to be transferred to new or existing employee, please
list data needed and to whom here:
If No, please provide 33-digit billing code to purchase new computer:
Please check the type of computer that needs to be purchased
Desktop Windows
Laptop Windows
Will computer need any non-standard software?
Yes
No
