Hebrew College Name Change Form

Employees Current Name*
First Last
Employees New Name*
First Last
Effective Date*
MM slash DD slash YYYY
Department*
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
Department Supervisor
What Department are they in?
Who will they be reporting to?
Supervisor's Email Address*
The user account and computer name and display name on the phone will all be changed. Please specify other chnages if necessary.
Other details
Please provide any other details about this name change process the IT team may need to know.

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