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Data Access Authorization Request Form

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

Supervisory Access

After employee's supervisor has signed this form, please return to the DBA on the Knight Campus, room 2115

Student Access

Return to Data Access Officer: - Stacy Flowers, Flanagan Campus for CWCE

Melissa Braun, Flanagan Campus for Student Affairs and all other departments

Finance/Purchasing Access (Return to: Kent Gates, Business Office - 3rd Floor, Knight Campus)

FOAPAL information (Contact Kent Gates x1114 with questions):

Human Resources Access

Return to Data Access Officer: Robin Donnelly, Human Resources, Knight Campus, room 3118

Travel and Expense Access (Return to: Controller's Office - 2nd Floor, Knight Campus)

FOPAL information (Contact Dave Rawlinson x2280 with questions):

Argos Access

Return to Data Access Officer: Peter Chin on the Knight Campus, IT Operations

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

**Student accounts are terminated at the end of the current semester.

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.

Employee's Signature: _______________________________________  Date: _________________

Supervisor's Signature: ______________________________________  Date: _________________

Office Use Only

Enter class, role access or folder if applicable:

Access to: Test  Production

Data Access Officer Signature: _______________________________________  Date: ______________

IT Dept. Completion Date and Initials: _________________