Marist College
Banner Advancement Access Request
EMPLOYEE PROFILE
Employee Name:
__________________________________
Date:
__________________________
Job Title:
__________________________________
Email:
__________________________
Location/Room:
__________________________________
Phone:
__________________________
CWID:
__________________________________
Create new
Account:
Modify an
Account:
Remove An
Account:
TYPE OF REQUEST
Current User
ID:
_______________________
User ID:
________________________
User ID:
________________________
Reason for Access:_____________________________________________________________________________________
BANNER ADVANCEMENT CLASSES
Internet Native Banner:
Mar_ADV_CareerServices:
Mar_ADV_Research:
Allow
Deny
Allow
Deny
Mar_ADV_SysAdm:
Mar_ADV_GiftPldg:
Mar_ADV_Student:
Mar_ADV_GiftOffcr:
Mar_ADV_BioDemo:
Mar_ADV_Audit:
Mar_ADV_IT:
Mar_General:
Self Service Banner:
Data Tailor:
Moves Manager:
Development Officer:
APPROVALS
Employee: I have read the Technology Acceptable Usage Agreement http://www.marist.edu/it/infosecurity/pdfs/aup.pdf
and agree to abide by the policy outlined therein.
Employee
Signature:
Date:
Print Name:
_________________________________________ Date:
_______________________________
Supervisor: I approve the access requested by the above employee. If the user of the above computing account leaves
the department, I will notify Information Technology so that the account can be removed.
Supervisor
Signature:
Date
Print Name
Data
Custodian:
Print Name:
Implemented
By:
Date:
Date:
INFORMATION TECHNOLOGY SECURITY OFFICE USE
_______________________________________
Date:
___________________________________
Date:
Print Name:
Rev 12/2009