GroupWise Account Request Form

 

First Name:           M.I.          Last Name          
Employee Title:                 
Phone:                          **If Adjunct, please use division extension**
Department:                   
Will Employee be requesting the account forwarded to another email address?        Yes    No  
Address of Requested Forwarding Account for Adjuncts:                 **Adjunct would like to have all GW email forwarded to a personal account**
     
Requestor's Name:                   
     
Address Book Listing:       Faculty Adjunct Faculty
        Classified Staff  Staff
   
Special Instructions:

(Please do NOT print this form.  Submissions are received electronically)