Slate User Access Request

User Access Form

This form must be completed by the user's supervisor.

Add/Revoke Access

Is this access for a student worker?

Access should expire on:

Supervisor

Supervisor Email:

Employee Information

First Name

Last Name

Preferred Name

Employee Full Name

Banner ID

NSCC Email

Phone

Department

Title

Access Details

Please describe all areas of Slate that this user should be able to access or list an existing/former user that access should mimic.

If the user needs an SMS line, please also include that information here. If you are revoking access for a user with an existing SMS line, who should have interim access to send/receive?