New Employee Account Request
Please fill this form out to have a new employee account created. The first email address should be that of the requester.
Email address *
Your Full Name *
Name of individual filling out this form
Your answer
School District *
Employee's First Name *
Format: First Name MI Last Name
Your answer
Employee's Last Name *
Your answer
Employee's Phone Number *
Format: xxx-xxx-xxxx
Your answer
Employee Type *
Employee Title *
If Teacher, include type of class (Math, Spanish) and/or grade level - displays to substitutes when trying to fill absence
Your answer
Employee's School Email Address *
Your answer
Employee's School Location(s) *
Please list all district school location(s) the new employee should have listed on their accounts
Your answer
Employee's Start Date *
MM
/
DD
/
YYYY
Does this employee follow the hours listed for their location? *
If the employee has multiple locations, will automatically default to enter custom absences
Employee's Start Time
Time
:
Employee's Half Day AM End
This would be the time that the employee's Half Day AM absence would end - only applicable for Half Day AM Absences. Please make sure to take into account coverage for the meal break, if applicable.
Time
:
Employee's Half Day PM Start
This would be the time that the employee's Half Day PM absence would start - only applicable for Half Day PM Absences. Please make sure to take into account coverage for the meal break, if applicable.
Time
:
Employee's End Time
Time
:
Employee's Total Hours per Day
Your answer
Employee's Mailing Address - Street or PO Box
Your answer
Employee's Mailing Address - City
Your answer
Employee's Mailing Address - State
Your answer
Employee's Mailing Address - Zip Code
Your answer
Additional Notes
Your answer
Does this employee require a substitute? *
If the employee requires a substitute, do alternate times need to be listed for coverage reasons? *
Example: Employee's Absence Times are 7:30 am - 2:30 pm but the substitute needs to arrive earlier and/or stay later. Also used to ensure proper coverage over meal period if employee takes half day.
Next
Never submit passwords through Google Forms.
This form was created inside of HFM BOCES. Report Abuse - Terms of Service