New Employee or Current Employee Move/Change Checklist

Please fill out the following areas in the New Employee/Employee Move Checklist Form.

New Employee's Supervisor or Move Requester:

Name of New Employee's Supervisor or Move Requester:
Supervisor's or Requester's email: @ cravencc.edu

Employee's Information:

Employee's Name:
Estimated Start Date of New Employee or Move Date for Current Employee: (Example, April 10, 2010)
Employee's Department:
Employee's Job Title:
Current Location:
Campus: Enter N/A for New Employees)
Building: (Enter N/A for New Employees)
Room: (Enter N/A for New Employees)
New Location:
Campus:
Building:
Room:

Equipment/Resources Needed:

Telephone: Computer:
Furniture: Building Key(s):
GroupWise/Email Account: Datatel Access:

Additional Notes:

If you have special instructions or comments, please replace the "None." and add your instructions/comments.

To avoid a false submission, type into the Text box: and then select the "Submit Form" Button.