EmailMeForm
YMCA of Cleveland E-Mail / PC New User Request
This form represents a request for an E-Mail, PC Login and Microsoft Teams Account for a YMCA of Greater Cleveland Employee and can only be completed by the manager / supervisor of the employee.
Please complete all required areas of this form, upon completion the YMCA IT Help Desk will be notified with your request.
Once the new user request is received by IT, employment will go through validation process with the HR Department. Once validated the account will be created and user login information will be sent back to the requester.
PLEASE NOTE: There are separate forms to request Business Cards and Name Tags (listed below), those are separate tasks that will not be fulfilled until a form is filled out for each request.
You MUST click submit after completing this form, prior to proceeding with the additional requests.
Employee Name
*
First
Last
Employee Status
*
New Hire (Future start date)
Existing Employee (Past start date)
Change to Existing Employee Account (Title / Level of Access change)
Date of Hire or Title / Position Change
*
MM
/
DD
/
YYYY
Employee Job Title / Position
*
Please select
Account Payable Specialist (PC Login + E-Mail and Microsoft Teams)
Account Service and Billing Rep. (PC Login + E-Mail and Microsoft Teams)
Administrative Assistant (PC Login + E-Mail and Microsoft Teams)
Administrative Coordinator (PC Login + E-Mail and Microsoft Teams)
Aquatic Exercise Instructor (PC Login)
Assistant Swim Coach (PC Login + E-Mail and Microsoft Teams)
Association Membership Director (PC Login + E-Mail and Microsoft Teams)
Behavioral Health Manager (PC Login + E-Mail and Microsoft Teams)
Behavioral Health Therapist (PC Login + E-Mail and Microsoft Teams)
Branch Associate Executive Director (PC Login + E-Mail and Microsoft Teams)
Case Counselor (PC Login + E-Mail and Microsoft Teams)
Case Counselor I (PC Login + E-Mail and Microsoft Teams)
Case Counselor II (PC Login + E-Mail and Microsoft Teams)
Case Counselor III (PC Login + E-Mail and Microsoft Teams)
Chief Financial Officer (PC Login + E-Mail and Microsoft Teams)
Chief Human Resources Officer (PC Login + E-Mail and Microsoft Teams)
Chief Marketing Officer (PC Login + E-Mail and Microsoft Teams)
Chief Philanthropy Officer (PC Login + E-Mail and Microsoft Teams)
Child Care Assistant Teacher (PC Login + E-Mail and Microsoft Teams)
Child Care Lead Teacher (PC Login + E-Mail and Microsoft Teams)
Clinical Director (PC Login + E-Mail and Microsoft Teams)
Clinical Supervisor / Quality Assurance Manager (PC Login + E-Mail and Microsoft Teams)
Communications Specialist (PC Login + E-Mail and Microsoft Teams)
Consultant (PC Login + E-Mail and Microsoft Teams)
Controller (PC Login + E-Mail and Microsoft Teams)
Coordinator, Active Older Adults (PC Login + E-Mail and Microsoft Teams)
Coordinator, Aquatics Program (PC Login + E-Mail and Microsoft Teams)
Coordinator, Aquatics Safety (PC Login + E-Mail and Microsoft Teams)
Coordinator, Membership (PC Login + E-Mail and Microsoft Teams)
Coordinator, Pathways (PC Login + E-Mail and Microsoft Teams)
Coordinator, Programs (PC Login + E-Mail and Microsoft Teams)
Coordinator, Sports and Teens (PC Login + E-Mail and Microsoft Teams)
Coordinator, Wellness (PC Login + E-Mail and Microsoft Teams)
Digital Marketing Strategist (PC Login + E-Mail and Microsoft Teams)
Director Aquatics/Youth and Family Programs (PC Login + E-Mail and Microsoft Teams)
Director, Branch Operations (PC Login + E-Mail and Microsoft Teams)
Director, Active Older Adults (PC Login + E-Mail and Microsoft Teams)
Director, Annual Giving (PC Login + E-Mail and Microsoft Teams)
Director, Associate Executive (PC Login + E-Mail and Microsoft Teams)
Director, Aquatics (PC Login + E-Mail and Microsoft Teams)
Director, Child Care Program & Development (PC Login + E-Mail and Microsoft Teams)
Director, Development (PC Login + E-Mail and Microsoft Teams)
Director, Facilities (PC Login + E-Mail and Microsoft Teams)
Director, Information Technology (PC Login + E-Mail and Microsoft Teams)
Director, Licensing and Compliance (PC Login + E-Mail and Microsoft Teams)
Director, Member Impact (PC Login + E-Mail and Microsoft Teams)
Director, Membership (PC Login + E-Mail and Microsoft Teams)
Director, Operations (PC Login + E-Mail and Microsoft Teams)
Director, Recovery Housing (PC Login + E-Mail and Microsoft Teams)
Director, Wellness (PC Login + E-Mail and Microsoft Teams)
Director, Wellness & Assoc. Personal Train (PC Login + E-Mail and Microsoft Teams)
Director, Youth & Family Programs (PC Login + E-Mail and Microsoft Teams)
Director, Youth Development Programs (PC Login + E-Mail and Microsoft Teams)
District Coordinator (PC Login + E-Mail and Microsoft Teams)
District Director, Youth Development (PC Login + E-Mail and Microsoft Teams)
District Executive Director (PC Login + E-Mail and Microsoft Teams)
Donor Relations and Grants Management Associate (PC Login + E-Mail and Microsoft Teams)
Equipment Technician (PC Login + E-Mail and Microsoft Teams)
Executive Assistant To President (PC Login + E-Mail and Microsoft Teams)
Executive Director (PC Login + E-Mail and Microsoft Teams)
Executive Director, Health Initiatives (PC Login + E-Mail and Microsoft Teams)
Group Exercise Instructor (PC Login)
Group Exercise Instructor, AOA (PC Login)
Group Exercise Instructor, Yoga (PC Login)
Head Coach, Swim Team (PC Login + E-Mail and Microsoft Teams)
Housekeeper (PC Login)
HR Admin (PC Login + E-Mail and Microsoft Teams)
Intake & Continuing Recovery Specialist I (PC Login + E-Mail and Microsoft Teams)
IT Dept Assistant - Temp (PC Login + E-Mail and Microsoft Teams)
IT Help Desk (PC Login + E-Mail and Microsoft Teams)
IT Specialist (PC Login + E-Mail and Microsoft Teams)
Lead, Program Instructor (PC Login + E-Mail and Microsoft Teams)
Lead, Property Manager (PC Login + E-Mail and Microsoft Teams)
Lifeguard (PC Login)
Lifestyle Coach(PC Login + E-Mail and Microsoft Teams)
LiveStrong Instructor (PC Login + E-Mail and Microsoft Teams)
Maintenance Technician (PC Login + E-Mail and Microsoft Teams)
Manager , Payment Registrar & Billing (PC Login + E-Mail and Microsoft Teams)
Manager, Payroll & Benefits (PC Login + E-Mail and Microsoft Teams)
Manager, Vocational Enrichment (PC Login + E-Mail and Microsoft Teams)
Member Service Representative (PC Login + E-Mail and Microsoft Teams)
Membership Coordinator (PC Login + E-Mail and Microsoft Teams)
Multimedia Specialist (PC Login + E-Mail and Microsoft Teams)
Payment Registrar (PC Login + E-Mail and Microsoft Teams)
Personal Trainer(PC Login + E-Mail and Microsoft Teams)
Pool Supervisor (PC Login + E-Mail and Microsoft Teams)
President & CEO (PC Login + E-Mail and Microsoft Teams)
PRN Behavioral Health and Family Therapist (PC Login + E-Mail and Microsoft Teams)
Program Instructor (PC Login)
Program Instructor, Pathways (PC Login)
Program Instructor, Sports (PC Login)
Property Manager (PC Login + E-Mail and Microsoft Teams)
Recruiter (PC Login + E-Mail and Microsoft Teams)
Registered Dietician (PC Login + E-Mail and Microsoft Teams)
Resident Coordinator (PC Login + E-Mail and Microsoft Teams)
Resident Monitor (PC Login + E-Mail and Microsoft Teams)
Resource Specialist (PC Login + E-Mail and Microsoft Teams)
RN Care Manager (PC Login + E-Mail and Microsoft Teams)
Senior Accountant (PC Login + E-Mail and Microsoft Teams)
Senior Human Resources Generalist (PC Login + E-Mail and Microsoft Teams)
Site Director (PC Login + E-Mail and Microsoft Teams)
Staff Accountant, Accounts Receivable (PC Login + E-Mail and Microsoft Teams)
Supervisor, Aquatics (PC Login + E-Mail and Microsoft Teams)
Swim Instructor (PC Login + E-Mail and Microsoft Teams)
Vice President, Branch Operations (PC Login + E-Mail and Microsoft Teams)
Vice President, Property (PC Login + E-Mail and Microsoft Teams)
Vice President, Youth Development (PC Login + E-Mail and Microsoft Teams)
Wellness Consultant (PC Login + E-Mail and Microsoft Teams)
YDI (PC Login + E-Mail and Microsoft Teams)
*Must match official Job Description
*Positions eligible for a clevelandymca.org email address include Microsoft Teams and Office Suite
Position Type
*
Please select
Full-Time
Part-Time
Temporary
Seasonal
Department
*
Company (Consultant or Contractor)
(Leave Blank for YMCA Employee)
Start Date
MM
/
DD
/
YYYY
*First Day of Work
Manager / Supervisor
*
Primary Branch
*
Please select
Association Office
Downtown
French Creek
Garretsville
Geauga
Hillcrest
Lakewood
North Royalton
Vermillion
Warrensville
West Park
West Shore
Y Haven
Other Branches (Check all that apply)
*
None
Association Office
Downtown
French Creek
Garrettsville
Geauga
Hillcrest
Lakewood
North Royalton
Vermillion
Warrensville
West Park
West Shore
Y Haven
Is this Employee replacing anyone?
*
Yes
No
N/A
If you answered Yes to the previous question, Who?
User Equipment Requested (Check all that apply)
Desktop PC with Monitor
Laptop (Full-Time Directors and above)
Laptop Docking Station (Full-Time Directors and above)
Dual Monitors
Desk Phone
Cell Phone (Monthly Fee)
Webcam (Video Conferencing Hardware)
USB Headset (Video Conferencing Hardware)
Employee Office Wing and Number
Y Haven Use Only *Location of Equipment Installation
Requester Name (Manager / Direct Report)
*
First
Last
Requester Phone Number (Manager / Direct Report)
*
###
-
###
-
####
Cell Phone Preferred
Signature
*
Requester E-Mail
Business Card Order Form (if applicable):
Business Card Order Form
Name Tag Order Form:
Name Tag Order Form