Banner General System Application/Authorization
This form is used to apply for a Banner username and set up security to provide access details
via telephone inquiry.
When completed, submit this form to CCIT- Enterprise Systems, attn. Julie or Arlene
Section 1: Applicant/Banner User Profile Information
Name: ____________________________________________ /_____________________________________ (please
print)
Last Name
First Name
Position Title: ______________________ CSM CWID: __ __ __ __ __ __ __ __
Are you transferring from one department to another? [ ] Yes [ ] No (check one only)
Are you a student employee? [ ] Yes [ ] No (check one only)
Email Address: _______________________________________________ Phone No: ____________________________
Department: ___________________________________ Location Building ___________ Room No: ________
User Authentication:
When calling Enterprise System Customer Support at XXXX about Usernames and Passwords, you will be asked for your CSM CWID
(Campus-Wide ID number.) In addition, you will be asked to verify your answer to one of the following six questions. Please choose
and answer at least two of the questions below:
1. In what town did you attend High School? _ ________________________________________
2. What was your favorite teacher’s name?
_________________________________________
3. What is/was your favorite pet’s name? _____________________________________________
4. In what town were you born? ____________________________________________________
5. Where did you attend kindergarten? _______________________________________________
I understand and agree that I will use my Banner username for legitimate administrative use only, and will use it in
compliance with the CSM Computing & Networking Resource and Responsible Use Policy & Guidelines and the CSM
Administrative Data Access Policy. I will not share it with others and I understand that misuse may result in disciplinary
action.
Signature: __________________________________________________________________ Date: ____ /____ /______
Section 2: Access to Banner Administrative Systems
In addition to this Application for a Banner Username form, you will need to complete one or more of the following forms and complete
the required training sessions.
For the Finance System
Attendance at the Banner Introduction course and Processing Financial Transactions course.
For the Human Resources System (HR/payroll) WEB Time Approver [ ] Yes [ ] No (check one only)
EPAF Approver [ ] Yes [ ] No (check one only)
Attendance at the Banner Introduction course and HR/Payroll Concepts and Query course.
For the Student Information System (SIS)
Attendance at the Banner Introduction to SIS course.
Section 3: Department Head Authorization
I hereby approve the access for a general Banner Username for this employee.
Name: __________________________________________ /______________________________________ (please
print)
Last Name
First Name
Title:___________________________________________________________________________________
Signature: __________________________________ Date: ____ /____ /______ Phone No:______________
Section 4: ES
Date in ES: ____ /____ /_____ _______ Date to User: ____ /____ /_____ ______
Banner Username assigned: ___________________
Instructions
This Authorization form is needed by the Banner office in order to provide you with a Banner username and password.
The prerequisite for receiving a Banner Username is hands-on training.
The Banner username and password assigned when this form is processed grants NO ACCESS to the Banner database.
You must complete one or more of the associated applications in Section 2 of this form to acquire privileges to query or
post to the database.
ONCE COMPLETED, SEND THIS FORM TO CCIT.