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IT Access Request Form

This form is to be completed by the Supervisor

of the person listed on the form who needs the accounts!

INSTRUCTIONS to Supervisor:

  1. Complete this online form and click the "SUBMIT" button at the bottom of this form.
  2. Review the confirmation page.
  3. Print the confirmation page and obtain the appropriate signatures.
  4. Fax a copy, with the signatures, to ITS at x8169.
Required fields are noted by *.

PART I. User Information *New
*Change
Last:* First:* MI: Start Date:* End Date:
Official Title:*
Department:* Building: Room: Extension:
Type of Employment:* Faculty
Administrator
Staff
Adjunct
Graduate Asst.
Student Worker
Contractor
Temporary

PART II. General Access
Accounts to Create or Change:*
 
Typical new hires need, at least, the first two options: Domain/Dept Share and Email/Calendar.
Domain/Dept Share
E-Mail/Calendar
Phone/Voicemail
Blackboard
Academus
Remote Access (VPN)
Recruiter
Web Editing (CMS)
Facility Reservations (MM)
Lab File Share
Cbord
Informer

PART III. Datatel Colleague/Benefactor Access
Category Permission
  W      R
Module Authorization Required By

Admissions    Admissions Dean of Admissions

Financial Aid    Financial Aid Dir. of Financial Aid

Registrar    Registration  
     Academic Records  
     Curriculum Mgt  
   SSN Access Registrar

Finance    Academus Budget Report List any appropriate Account Numbers
in the Comments section below
     Budget Mgt
     Fixed Assets
     Accounts Payable
     General Ledger
     Journal Entries Controller

Business Office    Accounts Receivable
     Cash Receipts Controller

Residence Life    Residence Life Dean for Student Dev.

Core Module    Activities & Events
   Communication Mgt
   Full Access
   Name & Address Entry
   Person Save List

Comments: Include any additional instructions:
Including Datatel Budget Account Numbers, CMS Web Folders, Remote Access Servers, etc.

PART IV. Authorization
Entered By:*       E-mail:*

REMINDER: Submit this information. On the next page, review and print the confirmation page. Obtain the appropriate signatures and fax the signed copy to ITS at x8169.


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