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New User Request Form
Please fill out as much information as possible.
This form updates a spreadsheet used for account creation and sends an email notification to
msuettinger@tcces.org
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* Indicates required question
Requester
*
Name and email address please
Your answer
Account Type
*
Network Account w/email
Only WEB based email
Start Date
When the account is needed by?
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Job Title
*
ex. Teacher - 1st Grade, Principal - Middle School, Rocket Scientist, etc...
Your answer
School or Parish Name(s)
*
Select all that apply.
High School
Middle School
St. Mary
St. Margaret Mary
St. Gabriel
SM Parish
SMM Parish
SG Parish
Other:
Required
Phone Number with Extension if applicable
Use the school number if no extension is available.
Your answer
Room Number or Office Name
Your answer
Supervisor
*
Who do they report to?
Your answer
Faculty? Staff? Other?
Faculty
Staff
Volunteer
Other:
Name of person they are replacing. (if applicable)
Your answer
Additional Comments
Your answer
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