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New Workgroup Request Form

Requesting Department:
Requester's Name:
Requester's Email:
Requester's Phone:
Requester's Alias:
Request Date:

Workgroup Information

Name of Workgroup (Limited to 15 characters - use only letters or the underscore "_")
Detailed Explanation of the Business Need for a workgroup
Workgroup Approver Information
Approver Name Position ID Date Title

Note: Once a workgroup has been established, the role will be placed on the OnePurdue Role Request Form by OnePurdue Security. Supervisors can then request this role for the users that need to be in that particular workgroup.