San Antonio Independent School District



SAN ANTONIO INDEPENDENT SCHOOL DISTRICT

Office of Computer Operations and Systems Integration

1702 N Alamo Street • San Antonio, Texas 78215

Office 210-244-2900 • Fax 210-228-3099

Help Desk 210-244-2929

Microsoft® Outlook

This form is a request for an Active Directory account with a mailbox. Complete information and signatures required. Submit request via fax or email to cosi@. Usernames are system-generated with the first letter of first name and full last name, followed by a number (e.g., John Doe ~ jdoe1). The email account will be accessible in the Outlook Address Book when ready. Use the default password for first logon then you will be prompted to change.

CHECK ONE:

Full-time Employee Part-time Employee – This account is valid for a term of four months and can be extended by

submitting a new Outlook form every term.

CHECK ONE:

New Account Returning Employee

Change to Existing Account – check all that apply: Location Job Title Name / Username

Other Please explain.      

Please print in black or blue ink.

|First Name |MI |Last Name |

|      |   |      |

|Employee ID Required (SSN not acceptable) |Job Title |

|      |      |

|School / Department |

|      |

|Organization Code |School / Department Phone |

|      |      |

|School / Department Address |Zip |

|      |      |

|Additional Campus / Department Assignment (if applicable) |

|      |

| |

By signing this form, you agree to abide by the COMPUTER & TELECOMMUNICATION USE AND INTERNET ACCESS FOR EMPLOYEES guidelines set forth by the San Antonio Independent School District (refer to D5 of the Administrative Procedures).

Employee Signature Date

Principal / Department Head Printed Name      

Principal / Department Head Signature Date

|For Technology Use Only: |

|APPROVED DISAPPROVED By: |

|Date Received |Date Created |Processed By |

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For HR Use Only:

DOH:

HR Initials: 壬壭壮壷壸壹壺外夗夘夙夣夤娀娊娌娎쟖쟖룖誣奵㪊ꎊ̼jᔀ饨ꈧᘀ晨挻㸀Ī⩂䌏ᑊ伀Ɋ儀Ɋ唀Ĉ䩞[?]䡭Ѐ䡮Ѐ桰肀€ࡵ[pic]ȷ脈樃ጫࠆᔁ饨ꈧᘀ晨挻㸀Ī⩂䌏ᑊ伀Ɋ儀Ɋ唀Ĉ䩞[?]桰肀€ᔨ饨ꈧᘀ晨挻㸀Ī⩂䌏ᑊ伀Ɋ儀Ɋ帀Ɋ瀀聨肀̱jᔀ饨ꈧᘀ晨挻㸀Ī⩂䌏ᑊ伀Ɋ儀Ɋ唀Ĉ䩞[?]桰肀€ᔨ饨ꈧᘀ⁨驩㸀Ī⩂䌏ᑊ伀Ɋ儀Ɋ帀Ɋ瀀聨肀ᔜ饨ꈧᘀ饨ꈧ䌀ᑊ伀Ɋ儀Ɋ帀Ɋᔜ饨ꈧᘀ孨턅䌀ᑊ伀Ɋ儀Ɋ帀Ɋᔜ饨ꈧᘀ

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