Employee Employment Change Form - Human Resources Office Page 2
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Employee Name & A Number: ____________________________________________________
Start Date: ____________________________________________________________________
Position/Title: __________________________________________________________________
Office Location: ________________________________________________________________
The employee has an existing University email (Current Student/WVSU Alum/Returning
Employee, etc.)
The employee will be working
Full-Time
Part-Time
Contact Human Resources immediately to generate an employee campus ID number
“ANumber”. Once a campus ID is created and all information is updated in Banner, e-mail
and MyState accounts are generated the following morning.
Please go to Physical Facilities webpage to submit a service request for keys/swipe card, if
needed, and office furniture setup,
(
order-form.aspx).
Computer Needs:
The new employee will utilize an existing computer but the computer requires setup for
the new employee. The computer is located ______________________.
The new employee needs a new computer. Please contact ___________________ to
obtain any detailed specifications that may be needed to quote a new computer. (Funding
is the responsibility of the hiring department and NOT the IT department)
Phone Needs:
The new employee will utilize an existing phone but the phone requires setup for the new
employee. The phone extension is ________ and the phone is physically located
_____________.
The new employee needs a new phone. (Funding is the responsibility of the hiring
department and NOT the IT department)
Banner or Other Accesses (if needed):
Please provide a list of all needed Banner forms and the level of access such as view only or
update. If the access needs to mimic that of another user, please enter the information for the user
with like access. ________________________________________________________________
______________________________________________________________________________
Additional Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________________
________________
Supervisor’s Signature
Date
____________________________________________
________________
Vice President’s Signature
Date
.
To ensure timely processing, please return the completed form to Tom Bennett as soon as possible
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Parent category: Business