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New User Request
This form is used for new employee/district account creation
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* Indicates required question
Full Name (First, Last)
*
Your answer
Last 4 of SSN (Used for Copier Code)
Your answer
Cell Phone Number (Used to Contact You About Account Creation)
Your answer
Home/Personal Email (Used to Contact You About Account Creation)
Your answer
Administrator Completing Form
*
David Shea
PJ Bertemes
Tim Bell
Craig Isaac
Chuck McNier
Windows Account (Desktop Access)
Yes
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Google Account (Email / Chromebook Access)
Yes
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