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