City of Stamford Technology Department

Account Modification Form - Stamford Public Schools Employees

This form is NOT for requesting a new account. This form is ONLY for modifying a current network account. If the employee does not have a current email address (stamfordct.gov), then do not use this form; please use the Network Access Request form. Also, if someone needs to modify Powerschool, Protraxx, IEP Direct, AESOP, etc. please contact BOE Central Office. Thank you!

Employee Information:

First Name:

Last Name:

Please enter the email addres of the employee whose account is being modified.

Email Address:

What Needs to be Changed?

New Job Title

New Location

To complete a name change, please click here for the name change form.

New Job Title:

Specify "Administrator" Title here:

Specify "Other" Job Title here:

Who is this person substituting for? (We need to know so that we don't mistakenly delete the account.)

Substituting for:

Who is this person substituting for? (We need to know so that we don't mistakenly delete the account.)

Who is this person substituting for?

New Location

Please provide more detail on the location:

Is this employee replacing another person who is leaving this department or location?

Yes

Please indicate the outgoing employee and where they went (new location, left the district, don't know, etc.):

Business Phone Number

Change in Network Resources and Other Programs

Network Resources such as Folders or Shared drives for both admin and EDU networks.

Comments?:

Approval:

Please note that you cannot request or approve changes in your network access. This must be done by an authorized individual in your location who will sign below. Unauthorized forms will not be processed.

Approver's Business Phone Number

Approver's e-Signature

First Name

Last Name

Choose how to sign

Draw Type