Administrative Systems Access Authorization Form

  You must submit this form via campus mail AND electronically.

 
  • Complete form online.
  • Print form by clicking special link at bottom of this page.
  • Submit form electronically by clicking the Submit button.
  • Sign form, and have your unit head sign form.
  • Mail printed form via campus mail to Marge Godowic, ITS.
  • If you have questions, call the GSU Helpdesk, Ext. 4357.
 
Date:
 
Completed FERPA Tutorial?
                
ID#
 
                

  Name  
  Signature
_____________________________________
  Title/Function  
  Unit/Department  
  Phone extension  
  Area of access (advising, registration, admissions, etc.)  
  Name of user with similar rights  
  Will you be scheduling classes?
                
Faculty web access?
                
  Will you be adding/removing holds?
                
Document Imaging access?
                

GAP Report Access?

                
  Unit head name  
  Unit head signature
_____________________________________

Below for ITS Use Only
accts_pay admissions alumni auditors bus cashier
collections common display-reg development donor_acct financial
fin_aid finctrl idadd instrsch management payroll
personnel placement provost purchasing r25 recruiting
registrar research student stubill stu_serv stdv
Database: CARS________ Train_______ Slave printing: Yes___ No___
Completed by ________________________ Received date ___/___/20___
Username assigned ___________________ Completed date ___/___/20___
UID assigned _____________________ Menu assigned _______________
Login instructions given to user ___/___/20___ by _________________________
  Office:_______________________


You must Print me! to print the form,
AND THEN YOU MUST 


This form replaces all previous versions. Revised 21 Oct 2009.