SUNDRY STAFF TEMPORARY ACCESS FORM – NEW APPLICATION
APPLICATION FOR THE CREATION OR UPDATE OF A STAFF RECORD FOR SUNDRY STAFF
THIS REQUEST WILL NOT BE ACCEPTED UNLESS ALL OF THE DETAILS REQUESTED ARE COMPLETED
AND AUTHORISED BY A HEAD OF DEPARTMENT/SERVICE.
Once signed please either email to staff.database@uwe.ac.uk or send to Academic Services, 3C18.
This form is ONLY to be used for staff who are NOT permanent, fixed term or temporary staff employed by the
Temporary Staff Unit (TSU). If you are paid through Payroll please contact Maria.Badman@uwe.ac.uk or
Karin2.Honeyball@uwe.ac.uk
Queries regarding notifications/use of network ID and email address should be directed to the ITS Helpdesk (ext.
83612).
SURNAME: *
DATE OF BIRTH:
FORENAME(S):
GENDER:
MALE / FEMALE
TITLE:
PREFERRED FORENAME:
ADDRESS:
JOB TITLE:
FACULTY/DEPT/SERVICE/ORGANISATION
CAMPUS:
START DATE:
END DATE:
LINE MANAGER / ADMIN CONTACT:
This should be a maximum of 1 year from Start
Date – It is your responsibility to reapply for
access PRIOR to the Expiry Date
ARE YOU CURRENTLY REGISTERED AS A STUDENT AT A UWE/PARTNER INSTITUTION;
YES
NO
(Please circle)
IF YES, WHAT IS YOUR STUDENT NUMBER..........................................
* CHANGE OF SURNAME: Please include old and new surname. This will result in the deletion of an existing network ID
and email address/account and the creation of a new network ID and email address/account. It is advisable to inform both
internal and external contacts that your email address will be changing. It should be noted that there is no facility to forward
emails from your old account. Anyone emailing your old account will have their email returned.
ACCESS REQUIRED FOR: (Please circle)
STAFF COMPUTER USER ID AND EMAIL ADDRESS
YES
NO
STAFF ACCESS SWIPE CARD
YES
NO
_________________________________________________________________________________________________
ACCESS TO ISIS
-
Contact Learning & Development Centre
ACCESS TO BLACKBOARD MODULES
-
Contact Your Faculty Student Admin Team:
AUTHORISED BY HEAD OF DEPARTMENT
PLEASE
SIGNATURE:
PRINT NAME:
ACE.SAT@uwe.ac.uk
FBL.SAT@uwe.ac.uk
FET.SAT@uwe.ac.uk
HLS.SAT@uwe.ac.uk
REASON FOR ACCESS:
DO YOU WORK FOR A CONTRACTOR/OUTSIDE ORGANISATION?
YES
NO
If YES, I am employed by ……………………………………………(name of contractor/outside organisation) and can confirm
that a UWE Data Processing Agreement has been signed. (Delete if not applicable).
DATA PROTECTION DECLARATION:
1998 Data Protection Act, Consent to Process Personal Information
The personal information collected on this form will be processed by the University in accordance with the terms and
conditions of the 1998 Data Protection Act. We will hold your data securely and not make it available to any third party
unless permitted or required to do so by law. The requested information will be used solely to administer your temporary
access to ISIS and will be deleted immediately after the end date stipulated on page 1 of this form.
Where you process personal data on behalf of UWE you must not to act in any way so as to cause UWE to breach of any of
its obligations under the 1998 Data Protection Act. Specifically you are obliged to:
1.
2.
3.
4.
5.
Process UWE personal data fairly and lawfully and only in accordance with instructions from UWE;
Process the personal data securely and only to the extent, and in such manner, as is necessary for the provision of
your role or as is required by law or any regulatory body;
Ensure that no UWE personal data is disclosed or divulged to any third party unless directed to do so by UWE;
Not process personal data outside the European Economic Area without the prior consent of UWE and, where UWE
consents to transfer, to comply with:
4.1 The obligations of the Data Controller (UWE) under the Act by providing an adequate level of protection
to any personal data that is transferred; and
4.2 Any reasonable instructions notified by UWE.
Cooperate fully with UWE in any complaint or request received by UWE which relates to data processing carried out by
you.
I agree to the University processing my personal data as described above.
I also agree to process UWE personal data as per the above instructions .
I work for a contractor/outside organisation and can confirm that my organisation has signed a UWE Data Processing
Agreement. (Delete if not applicable).
Signature ................................................................................ Date ...........................................................
AUTHORISED BY HEAD OF DEPARTMENT
PLEASE
SIGNATURE:
PRINT NAME: