Forms > New Tech Request Use this form to request different types of technology for current staff or for new staff moving into new roles. Name of Requestor*Employee's Name* First Last Club*SouthLancasterKeizerWestBattlecreekStart Date*MMMM123456789101112DDDD12345678910111213141516171819202122232425262728293031YYYYYYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Employee NumberCurrent Department*New Department*Does the employee need a computer login?YesNoDoes the employee need a Courthousefit Email?YesNoDoes the employee need access to our current gym software?YesNoDoes the employee need to be able to have appointments booked in the system?YesNoWill the employee need a phone number & extension?YesNoWill the employee be taking over an existing phone number? If so, who is the old employeeWhich computer at the club will the new employee be using?Any other technology needs or employee info?Name of person submitting form* First Last