Data Access Authorization Request Form
You must fill this form out before you print it. Thank you.
Agreement: I have read, understood, and agree to comply with FERPA regulations, the CCRI Data Security Policy and the CCRI Policy on the Responsible use of Information Technology; I understand that I am responsible for any computing activity carried out using this account. Access to Banner will be activated upon completion of all training.
Applicant's Signature: _______________________________________ Date: _________________
Supervisor's Signature: ______________________________________ Date: _________________
Office Use Only
Module: ___________________________ User/Class Role: ___________________________
Access to: Test Production
Data Access Office Signature: _______________________________________ Date: ______________
IT Dept. Completion Date and Initials: _________________