Onity Door Access Authorization Form
09/26/2014
Please grant access to:
_______________________________ _______________ ____________________ _________________
Name
SID #
Expiration Date (required)
Faculty/Staff/Student
Check the User Group to which the above individual should be assigned.
You may request assignment to only those doors to which you have the authority to authorize access.
____ ALL AREAS (ETSU Service Personnel Only)
____________________________Department
____________________________Position Title
Brooks Gym (5 Interior doors)
_____ ROTC Staff (1 doors)
_____ ROTC Students (1 door)
Digital Media Center (6 Interior doors)
_____ Faculty/Staff (6 doors)
_____ Graduate Assistants (5 doors)
_____ Grad/Undergraduate Students (5 doors)
Ross Hall
_____All GeoSciences Doors (14 doors)
_____Computer Lab Room (1 door)
_____Additional Individual Lab Access
______________________________________
Hutcheson Hall (1 Interior Door)
_____ NTFD & DHYG Faculty/Staff (1 door)
_____ NTFD & DHYG Students (1 door)
_____ NTFD & DHYG Grad Students (1 door)
Brown Hall (28 Interior doors)
_____All Chemistry Dept. Doors (28 doors)
_____Chemistry Classroom Doors (4 doors)
_____Chemistry Library Room (1 door)
_____Additional Individual Lab Access
________________________________
Sam Wilson Hall (4 Interior Doors)
_____ E Learning Lab, (1 door)
_____ BCM Faculty/Staff (123, 123I, 149F)
_____ BCM Students (123, 149F)
Lamb Hall (Spch & Hearing Rooms - 4 Interior doors)
_____ BioStat & Epid F/S (1 door)
_____ BioStat & Epid Grad (1 door)
_____ S & H Faculty/Staff (4 doors)
_____ S & H Graduate Students (4 doors)
University Center
_____ SORC Staff (1 door)
_____ SORC Students (1 door)
_____ Lactation Suite (1 door)
_____ TRIO Staff (2 doors)
_____ TRIO Tutors (2 doors)
Burleson Hall (Computer Lab - 1 interior door)
_____English Faculty/Staff (1 door)
_____English Students (1 door)
Burgin Dossett (6 Interior Doors)
_____ Financial Aid Full-Time Staff (1 door)
_____ Financial Aid Part-Time Staff (1 door)
_____ Purchasing/AP Full-Time Staff (1door)
_____ Records 1 Vault Staff (1 door)
_____ Records 1 Vault Student (1 door)
_____ Records 2 Vault Staff (1 door)
_____ Records 2 Vault Students (1 door)
_____ Records 3 Vault Staff (1 door)
_____ Records 3 Vault Students (1 door)
_____ Basement 03 Storage Staff (1 door)
_____ Basement 03 Storage Student (1 door)
_____ Basement 03, 04 Storage Staff (2 doors)
_____ Basement 03, 04 Storage Student (2 doors)
_____ Bursar’s Office Second Floor (2 doors)
Campus Center (3 Interior Doors)
_____ TRIO McNair Staff, Rm 208
_____ TRIO McNair Students, Rm 208
_____ Banner Training Room, Rm 208G
_____ Railroad Museum, Rm 100A
_____ Theatre Faculty/Staff (1 door)
_____ Theatre Directing Students (1 door)
_____ Theatre Patchwork Players (1 door)
Mathes Hall (Music Rooms – 16 Interior doors)
_____ Music Faculty/Staff All Rooms (16 doors)
_____ Music Students - 9 Smart Rooms (9 doors)
_____ Music Band Students - Band Library and
9 Smart Rooms (10 doors)
_____ Music Percussion Students – Percussion Room and
9 Smart Rooms (10 doors)
_____ Music Percussion Room Only (1 door)
_____ Music Steinway Rooms (4 doors)
_____ Music Steinway Rooms and 9 Smart Rooms (13
doors)
Memorial Hall (MiniDome -5 Interior Doors)
_____ Kinesiology Faculty/Staff (E157, E138, E135)
_____ Athletic/KLSS Faculty/Staff (E157, E138, E135)
_____ KSRM Student Worker (E-135)
_____ EXSS Faculty/Staff (E113)
_____ EXSS Student (E113)
_____ Bucky’s Pantry Faculty/Staff (W-277)
_____ Bucky’s Pantry Students (W-277)
Nicks Hall (7 Interior Doors)
Warf-Pickel Hall (5 Interior Doors)
_____ Education Computer Lab, Rm 207
_____ Classroom, Rm 419
Comm Counseling Clinic, RM 323A
_____ Faculty/Staff
_____ Students
Comm WP, Radio Station, Rm 101
_____Faculty/Staff
_____Students
Comm WP, Editing Lab, Rm 103
_____Faculty/Staff
_____Lab Workers
Comm WP, TV Equipment, Rm 113
_____ Faculty/Staff
_____ Student Workers
Wilson-Wallis Hall (4 Interior Doors)
_____ Faculty/Staff (4 doors)
_____ Grad Student (4 doors)
_____ Ham Shack, Rm 225
_____ OIT Rooms – (6 doors-not including 417)
Yoakley Hall (4 Interior Doors)
Parking Garage
_____ Welcome Center Staff (limited access)
_____ Public Safety/Support Staff (limited access)
_____ Honors F/S, (210, 213, 221)
_____ Honors Students (210, 213, 221)
______Veteran’s Lounge (306)
***All Multi-Media Classrooms must be authorized by the office of Academic Technology Support. 439-8611***
Access will not be granted without ATS authorization. Email requests to ats@etsu.edu
______ All Multi-Media Classrooms
______ Brown Hall, Rm 304
______ ETSU at Kingsport, Rm 319
___________________________________
Authorized By (print or type)
________________________________
Department
______ Lamb Hall, Rms 131,132,143,260
______ Nave Center – Elizabethton, Rm 161
______ Roger Stout Hall, Rm 101
______ Warf-Pickel Hall, Rm 209E, 415
______ Wilson-Wallis, Rm 205
_____________________
_____________________
Signature
____________________________
Position Title
Phone #
____________________________
Date
Campus ID Services Office --- Campus P.O. Box 70611 --- Voice: 9-8316 Fax: 9-8305 --- E-Mail: IDBUCS@etsu.edu