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Community College of Rhode Island

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Data Access Authorization Request Form

You must fill this form out before you print it. Thank you.

Please provide the following information:
Student Access Return to: Stacey Flowers, Flanagan Campus for CWCE

Melissa Braun, Flanagan Campus for Student Affairs and all other departments
Finance/Purchasing Access (Return to: Business Office - 3rd Floor Knight Campus) FOPAL information (Contact Kent Gates x1114 with questions):

Human Resources
Human Resources Access Return to: Robin Donnelly, Human Resources, Knight Campus, Room 3118
Travel and Expense
Travel and Expense User Access (Return to: Controller's Office - 2nd Floor Knight Campus) FOPAL information (Contact Jo Anne Robitaille x2150 with questions):

Workflow Access Workflow Approver
User (Traveler) Approver Delegate

*Your CCRI ID# is the 8-digit number below your name on your Faculty/Staff or Student ID.

Knight (Warwick) Flanagan (Lincoln) Liston (Providence) Newport County (Newport)
Shepard Building (Providence) Westerly Satellite (Westerly)

Faculty Staff Student** Lecturer Intern Volunteer Temp Other
**Student accounts are terminated at the end of the current semester.
New Terminated Change
Entry Level Approval Level

Remember! 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: _________________

Last Updated: 9/13/16