- Request for On-Line Access to University Data Base
Valparaiso University
Office of Information Technology
Request for On-Line Access to University Data Base
Name: _______________________________ Department: ___________________
Date: ______ Phone: ____________
Check the Office from which you are requesting access to information:
____ Admissions Office
Authorization Signature _____________________________ Date: __________ Finance Office
Authorization Signature _____________________________ Date: __________ Financial Aid Office
Authorization Signature _____________________________ Date: __________ Human Resources Office
Authorization Signature _____________________________ Date: __________ Institutional Advancement Office
Authorization Signature _____________________________ Date: __________ Registrar's Office
Authorization Signature _____________________________ Date: ______The departmental authorizer will specify the security class via an e-mail to the help desk.
Return form to switchboard, Kretzmann Hall, after requested authorizations have been signed.
Your signature: ______________________________
Copy: Employee; Human Resources