New User Account Request
IT policy requires each user to have their own account and password.
No user is permitted to share their username and password with anyone.
Guest and/or generic user accounts will not be granted.
The users' manager must specify the student record programs that will be made available to the user *.
Users must change their passwords every 90 days.
Accounts are deleted from the system if the user does not logon for 120 days.
Rosters+ accounts are automatically created for all faculty assigned to classes.
Please Type or Print Clearly
|New User's Name||Employee I.D.#|
|[ ] Board Member||[ ] Management||[ ] Classified|
|[ ] Full-time Faculty||[ ] Part-time Faculty||[ ] Confidential|
|[ ] Full-time Counselor||[ ] Part-time Counselor||[ ] Counseling Intern|
|[ ] Full-time Librarian||[ ] Part-time Librarian|
|[ ] Hourly||[ ] Retired Faculty|
|[ ] Contract Education Student: Start Date:___________ End Date:___________||[ ] Contractor (specify: )|
|[ ] Non-Privileged - E-mail, Internet, Z drive, etc.|
[ ] Privileged - Access to student records as a privileged user in Department/ Division
Create this user the same as another user (specify existing user name: __________________________________)
For privileged access, please fill out a PeopleSoft Security form in addition to this form.
|[ ] Create Windows account|
|[ ] Create Rosters+ account (specify department or division: )|
|[ ] OnBase user.|
|Macintosh Only: [ ] Create Macintosh volume (Z drive equivalent). Windows account is required for authentication.|
User Name: __________________ Account: _______ Created By: _______________ Date: ___________
Form Revision Date: 12/16/13