Request for ERSO Administrative Staff only.
Requestor's name:
Requestor's email address:
New employee's full name:
New employee's UC ID number:
Account start date:
Office phone:
Office address
(Building/Room #):
Supervisor's email:
Desired account name
(1st choice):
Desired account name
(2nd choice):
Current non-eecs email:
( __
@berkeley.edu
)
Comments:
Enter the word orange:
