New Account Request

To request accounts, please complete this form. After this form has been completed, the account will be created within one business day. If the account is not active after one business day, please call ODNA System Support at 777-3954.

To better familiarize the recipient of the new account, please print or have them review the New Account Information page.

NOTE: This form must be completed by a department manager. Please enter all fields completely.

Manager Information

Name: *	A value is required.	Department: *	Campus Postal Services Chester Fritz Auditorium Dining Duplicating ETI Golf Course Housing Marketing ODNA Printing Center ResNet Safety Traffic/Parking Transportation Children's Center University Police U Card Please select a valid item. Please select an item.
Phone Number: *	A value is required.	Email Address: *	A value is required.Invalid format.

Employee Information

First Name: *	A value is required.	Middle Name: *	A value is required.
Last Name: *	A value is required.
Email Address: *	A value is required.Invalid format.	EMPL ID: *	A value is required. If EMPL ID is not known at this time, please email it to the ODNA System Administrator as soon as you receive it. This is required for both BPOS and ImageNow accounts.
If replacing a current employee, who last held this position? If this employee is replacing someone who is no longer employed, you must complete a Account Removal form located here.			If this is a new position, please enter "new position"

Access Information

Please select the neccessary levels of access for the employee.

GroupWise/BPOS Email: *		Yes No A selection is required.Select ONLY Yes or No.
Windows Account/Network Drive Access (H and J):*		Yes No A selection is required.Select ONLY Yes or No.
FoodPro Account (Dining employees only):		Yes No A selection is required.Select ONLY Yes or No.
ImageNow: *		Yes No A selection is required.Select ONLY Yes or No.
	If yes, you must print this form and fax it to 777-4298.
Please list any other systems/folders that this employee will need access to:
Please provide any additional information you feel may be useful when setting up this account:

Security Check

Please enter the security code as above:

* Denotes required field.