IT Services Request Form

Please complete all fields

Last Name, First Name (As it should appear in Outlook and Reports):

Date account must be ready: (Please be specific, no ASAP etc)

Office Location (City):

Dept:

Recruiter Sales Services Admin

Other Please Specify

Group: (Madison Gunn, Signature, Hunter Hollis)

Equipment Needed (please mark only those where IT is needed to procure or install)

Desktop (PC) (keyboard and mouse will be included)

Monitor

Laptop

Special Hardware/Software Needed:

MS Office (Word, Excel, and PowerPoint)

MS Project

Visio

Air Card

Desk Phone Needed

Blackberry

Voice

Data

Number being ported from other carrier

Current Carrier:Current Cell Phone Number:

***If Employee wishes to use a personal cell phone number for their blackberry please check Blackberry and Number being ported from other carrier. Then include the carrier and the current number in the form field.

Access to the following Drives:

F, J, SOX (K)

Grant Access to the Following

Citrix

TS FARM

EZ

ADP

Great Plains

TEMP Wizard

Report Smith

Current employee with similar role (N/A if none) –

Add to Following Distribution Groups

ATL ALL / ContactUsPage / OpportunitiesPage / TR-New Generation
ATL REC / ENTERPRISE OFFICE ADMINS / ORL ALL / TR-Situation
ATL SALES / ENTERPRISE REC / ORL REC / TR-SUTS
BAC / ENTERPRISE ALL / ORL SALES / TR-T4T
BAC BOS / Extended Cities / OTF-Oracle Task Force / TR-TCMS
BAC CLT ALL / Farm Team / PAYROLL / TR-TheCultureClub
BAC REC / FLL ALL / PERM Deals / TR-TheFeudingFockers
BAC SALES / FLL REC / Presidents Club 2008 / TR-TheTens
BAC SAP / FLL SALES / Proposals / TR-WickedvVertigo
BNB / FLL SUB / REC MANAGERS / VAGOV-JO
BOS-Sitcom / H2O / Recontact List / VAGOVREC1
BRANCH MGRS / HH Perm / RIC ALL / VA-OM
Bullhorn / HOT LEADS CALL / RIC REC / VMA
BULLHORN CORE TEAM / HOT Leads Committee / RIC SALES / WACH ALL CHA
C2C-ERP / InfoComm / Round Table / WACH REC CHA
CB_BOS_HH_P / INTERNALCCB / SAN-ANT-ALL / WACH SUB
CHA CVs / IT / SAPGOLD / Wachovia ALL
CHA F&A PERM / Local Global Operations / SES WOB / Wachovia SALES
CHA F&A TEMP / LOCAL-ALL / SES-AFS / Wachovia Sales Clt
CHA Infra / LOCAL-REC / SES-ALL / WACH-STL
CHA IT ALL / LOCAL-SALES / SES-Avidity / WEBIDEAS
CHA IT In-house / Long Lines / SES-Call-Reports / WOB ALL
CHA IT LOCAL / MadisonGunn / SES-CCS / WOB-SALES
CHA IT REC / Monitoring / SES-CRM
CHA IT SALES / NAT ALL / SES-FLL
CHA Ops / NAT FLL / SIG-Services
CHASUB / NAT REC / TR-IcedTeam
CHI ALL / NAT SALES / TR-Jesters