Indicates required fields

• NAME:
  
• EMAIL:
  
• BAMA USERNAME:
  
• CWID (if known):
  
• PHONE:
  
• FAX:
  
• BOX:
  
• DEPT NAME:
  
• STREET ADDRESS:
  
• ROOM# & BUILDING NAME:
  
  

• Date Attending Banner Courses:
  
  
• 
  

• Please Select One:
  
• original request:
  
• subsequent change:
  

• Are you responsible for Schedule of Classes updates (SSASECT)
  
• Yes:
  
• No:
  

• Are you responsible for room scheduling?
  
• Yes:
  
• No:
  

• Do you need to view student account data? If yes, please explain in comment field below.
  
• Yes:
  
• No:
  

• Are you responsible for registration overrides or permits?
  
• Yes:
  
• No:
  

• Do your job responsibilities require you to see student grades or GPA's? If yes, please explain in comment field below.
  
• Yes:
  
• No:
  

• Do your job responsibilities require that you regularly advise students' academic concerns?
  
• Yes:
  
• No:
  

• Is your job a new position? If not, please provide name of staff member you will replace.
  
• Yes:
  
• No:
  

• Are there other specific data needs that your job requires? If yes, please explain in comment field below.
  
• Yes:
  
• No:
  

• Do you have a security token? (If yes, please provide serial number below.)
  
• Yes:
  
• No:
  

• Comments:
• 
  

• Department Head/Supervisor Approval:
•