User Access Creation - Technology Service

Student Affairs User Access Creation

** All new hire requests will need to go through Human Resources first before submitting this form. **

User's Name(Required)

First Last

Date for access to begin(Required)

Is this user a student or staff employee?(Required)

Student

Staff

User's UIN(Required)

University Identification Number

User's NetID

User's Department(Required)

User's Group or Office(Required)

User's Office Building and Room Number

User's Job Title(Required)

Please specify any systems, applications, resources, folders, etc, that needs to be added:

Click “Add” and complete the row for each additional access that needs to be added.

Grant access similar to:(Required)

Who can we mirror access or permissions for this role?

If student employee, do they require a separate work mailbox?

Yes

Any additional information we need to be aware of?

(Indicate any unique needs or information.)

Supervisor's Name(Required)

First Last

Supervisor's Email Address(Required)

Supervisor's Phone Number

CAPTCHA