Office of Information Technology
Name: _______________________________ Department: ___________________
Date: ______ Phone: ____________
Check the Office from which you are requesting access to information:
____ Admissions Office
____ Finance Office
____ Financial Aid Office
____ Human Resources Office
____ Institutional Advancement Office
____ Registrar's Office
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