Michigan Technological University
Request for Access
Alumni/ Office of Advancement/ Tech Fund
The University employees whose names and signatures appear below have been delegated authority to view and use
the areas of information as designated below.
Donor information
Fund balance information
(Class BAN_ALU_AUPMC_C and Role ALU_QALL)
(Class BAN_ALU_ENDOW and Role ALU_DFIN)
Donor demographic information (student access)
(Class BAN_ALU_STU_C and Role ALU_QALL)
Other (describe)
______________________________________________________________________
______________________________________________
Employee’s name
___________________________________________
Userid
_____________________________________________
Signature
______________________________________________
Employee’s name
___________________________________________
Userid
_____________________________________________
Signature
______________________________________________
Employee’s name
___________________________________________
Userid
_____________________________________________
Signature
Approval:
______________________________________________
Name, Dean, or Department Chair
___________________________________________
College or Department
______________________________________________
Signature
_________________________________________
Date
Please send the completed form to Student and Advancement Information Systems at sais@mtu.edu.
Questions? Call 72151