JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
New Employee / Network / E-Mail / Infinite Campus
Use the form to request access for network, email, or Infinite Campus from Coffeyville Public Schools.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Who is your employer?
*
Coffeyville Public Schools USD-445 (This process will be completed by the Business Department please do not complete this form)
Tri-County Interlocal #607
Community Health Center of Southeast Kansas, Inc. (CHC/SEK)
Southeast Kansas Community Action Program (SEK-CAP)
First Student
Other:
What is your legal first name?
*
Your answer
What is your legal last name
*
Your answer
What is your position?
*
Licenced Teacher
Para Educator
Maintenance / Custodial support
Food Service
Substitute Teacher
Other:
What building will be your primary location?
*
Early learning Center
Community Elementary School
Roosevelt Middle School
Field Kindley High School
District Wide
Other:
What service and you requesting?
*
Network access (Username and password to allow login to a Coffeyville Public Schools computer)
Web filter login
Email (Usually only students and employees are allowed these)
Infinite Campus (Access to Student Management System)
Other:
Required
Why do you need this access?
Your answer
Who is your direct supervisor?
*
Your answer
What is your phone number would you like us to call if we have a question?
*
Your answer
Please review
USD 445's Staff Acceptable Use Policy
and check the box below.
*
I have read and understand the terms and conditions of USD 445's Acceptable Use Policy.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Coffeyville USD 445.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report