Fordham University

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Electronic Guest Access Form

Employees of the University should NOT use this form.

To process transactions for a new hire, promotion or transfer (admin, clerical and/or maintenance), please access the Fordham Applicant Tracking System (ATS).
To onboard faculty, adjuncts, or part time non-instructional staff, please access the New Hire Workflow.

If you have any questions please contact IT Customer Care Center at (718) 817-3999 or by e-mail at helpIT@fordham.edu.

Guest Contact Information

Name*

First Name

Initial (optional)

Last Name

Personal Email*

I currently have a Fordham email address or have been given one in the past*

Yes No

Fordham Email*

Please indicate "Unknown" if you don't remember your Fordham email

Address

Is this an international address and phone number?*

No Yes

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Cell Phone Number*

International Address*

Address Line 1

City

ZIP / Postal

Country

International Cell Phone Number*

US Cell Phone Number

if applicable

Emergency Contact

Emergency Contact Name*

First Name

Last Name

Relationship*

Is this an international phone number?*

No Yes

Phone Type*

Cell Home

Emergency Contact International Phone Number*

Emergency Contact Phone Number*

Sponsor Information

Please enter the sponsor's Fordham email below. Please ensure that the email address is entered correctly.

For spouse ID's please indicate the employee as the sponsor.

Your request will be routed to the sponsor for approval.

Sponsor's Email*

Certification and Signature

Acknowledgement*

I acknowledge that the information provided on this form is accurate and that by submitting this form I am electronically signing this request.

Name*

Please type your full name

Date*

Sponsor Approval

Access Authorization*

Approve Deny

Reason For Denial*

This reason will be included in the employee's email notification

Classification*

As a member of the Fordham University Community, all full-time Faculty, Administrators, and Staff (“Employees”) can sponsor a guest identification card for their spouses or partners to gain access to public areas on campus as well as Fordham's Libraries, under the following conditions:

Guests must comply with the University's Code of Conduct as well as all Fordham policies.
Guests must produce their guest identification cards when requested by campus officials including the Office of Public Safety staff.
Guests are prohibited from all campus residence halls, as well as any private office spaces.
Guests are responsible for the daily fee for parking on campus.
Employees assume all responsibility for the conduct and activities of their guests while on campus.
Employees are responsible for cancelling the guest identification card of their guests. In order to cancel a guest identification card, Employees are to contact the Office of Human Resources Management
The University reserves the right to remove any guest when warranted and to cancel the guest identification card of a guest.
Guests are not entitled to the internal policies and procedures afforded to Employees or students.

Is the visiting faculty a NextSource employee?*

Yes No

Type of access that should be granted*

ID Card Only ID Card and Electronic Access (ie. E-Mail, Portals, Wireless, Shared Drives, Libraries & More)

When should the access end?*

End dates cannot extend beyond May 31st of the academic year in which the guest is gaining access

Please specify the reason for access*

By submitting this form you agree that you are electronically signing this request.

Date Approved*

HRIS - Create Record

HRIS Action*

Processed Returned For Correction Exit Workflow

Fordham Identification Number*

Fordham Email*

HRIS Comments (Internal)

Please indicate details of missing information in this section

Processed On*