UMSO Roll-on Form

Submitter name: (required)

(first last)

Submitter email: (required)

Your University of Massachusetts email address
(lower-case only)

Submitter Campus: (required)

Roll-on type: (required)

Employee type: (required)

Location: (required)

Start date: (required)

End date: (required)

Legal last name: (required)

Legal first name: (required)

M.I.:

Former last name:

(if applicable)

Chosen first name:

(only enter if desired)

Title: (required)

Department: (required)

Division:

(if applicable)

Manager name: (required)

Company name:

Company phone:

Company street address:

Company contact email address:

Does this person currently work at UMass or have they previously worked at any UMass? (required)

Campus of current or previous UMass employment: (required)

Dropbox:

(required)

Team folder:

(required)

Legal Files:

(required)

Page Up:

(required)

Slack:

(required)

Office 365:

(required)

Salesforce case management:

(required)

University travel program:

(required)

CITRIX:

ProdTest

Roles:

(optional)

User to model:

(optional)

Finance:

DEVTSTPRD

Roles or User to model:

(optional)

Effort Certification:

DEVTSTPRD

Roles or User to model:

(optional)

Approve Travel and Expense:

DEVTSTPRD

Roles or User to model:

(optional)

Human Resources:

DEVTSTPRD

Roles or User to model:

(optional)

Student Administration:

DEVTSTPRD

Roles or User to model:

(optional)

Amazon Connect CTI:

(required)

Confluence:

(required)

Document Imaging WebNow:

(required)

eMIL:

(required)

Sunapsis:

(required)

Control - M

(required)

Helix (batch management)

(required)