Request for Security Badge

SPS Badge Request Form

This form should be completed by the staff member requesting a Somerville Public Schools identification badge. Once you have filled out this form and attached a professional headshot, you and your supervisor will receive an email confirmation of the badge request. Please forward the email to Human Resources Principal Clerk Patti DiFraia for processing. The Human Resources Department will not be able to produce a badge without supervisor confirmation.

1 Start 2 Complete

Employee First Name *

Employee Last Name *

Employee Email *

Department *

Request *

New Employee

Internal Transfer

Facility Access Change

Lost or Damaged Badge

Supervisor First Name *

Supervisor Last Name *

Supervisor Email *

Human Resources will confirm all badge request with the employee's supervisor before approving badge requests.

If requesting access to all school buildings or extended hours, please explain.

Upload an employee photo

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Leave this field blank