Fillable BANNER & UNIX ACCOUNT APPLICATION FOR EMPLOYEES (Texas Southern University)

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BANNER & UNIX ACCOUNT APPLICATION FOR EMPLOYEES (Texas Southern University)

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The BANNER & UNIX ACCOUNT APPLICATION FOR EMPLOYEES (Texas Southern University) form is 4 pages long and contains:

  • 8 signatures
  • 14 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

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Account Information
Check all that apply.
New Banner Access
Change Banner
Access
New Unix Access
Change UNIX Access
Create a Banner
account for the user.
Change a Banner
account for the user.
Create a UNIX
account for the user.
Create a UNIX
account for the user.
If you are requesting a change to an existing account, please provide your current Banner User ID.
Banner User ID
Module Access Information
Check all that apply.
Alumni
Financial Aid
The Alumni module contains
data and processes related
to alumni management and
alumni giving.
The Financial Aid module
contains data and processes
related to student financial aid,
such as need analysis,
disbursement, student
employment, etc.
Finance
General
The Finance module contains
data and processes related
to general ledger,
operations, accounts
payable, accounts
receivable, budget,
purchasing, etc.
The General module contains
data and processes related to
general Banner functions, such
as job submission, population
selection, web controls, etc.
Please note that Access to any Banner module must be approved by the module owner. For more information, see
“Module Owners’ Approval” on page 3 of this application.
Applicant Information
Last Name
First Name
Middle Initial
Employee ID Number
Title
Department
Building and Room
Extension
TSU Email Address
Employee Type (Check all that apply)
Faculty
Staff
Temporary/Contractor
Student Worker
Please save the form to your computer first, and then fill it out using Adobe Acrobat Reader.
Click here for more instructions on how to complete the fillable PDF form.
Your request must be approved by your supervisor, and by the department data steward for
the particular banner module access. After completing the form, please email the form
completed to IT Service Center at ITServiceCenter@tsu.edu to process your request.
BANNER & UNIX ACCOUNT APPLICATION FOR EMPLOYEES
713-313-4357 | Office Of Information Technology | Texas Southern University
1
Confidentiality Agreement
The following confidentiality agreement apply to all requests:
I understand that while performing certain assignments, I may come into contact with confidential and proprietary
personal information regarding Texas Southern University and/or its employees, students or regents. I understand
that it is important to safeguard the confidentiality of this information and therefore agree as follows:
1. Confidential Information
I agree that both during and after my employment at Texas Southern University:
1.1. I shall keep secret all confidential and proprietary information and not reveal or disclose it to anyone unless
required by my supervisor or a University official to do so.
1.2. I shall not make use of any of such confidential and proprietary information for my own purposes or for the
benefit of anyone other than the University; and
1.3. I shall deliver promptly to the University, upon completion of the assignment, any documents (and all copies
thereof) constituting or relating to such confidential and proprietary information, which I may have in my
possession.
2. Enforcement
I acknowledge and agree that any breach of this Agreement by me will cause harm to the University and/or its
employees, students or regents. I agree that if I commit a breach of any of the provisions of this Agreement,
the University shall have the right to take disciplinary action against me and to otherwise enforce this
Agreement.
Applicant Signature
By signing below, you indicate that you understand and agree to the Confidentiality Agreement stated above:
Signature:
Printed Name:
Date:
Supervisor Signature
Signature:
Printed Name:
Date:
713-313-4357 | Office Of Information Technology | Texas Southern University
2
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Module Owners’ Approval
Access to any Banner module must be approved by the module’s owner.
Module:
Alumni (Jeffery Shaw, jeffrey.shaw@tsu.edu)
Signature:
Printed Name:
Date:
Approved Access
Role(s):
Module:
Finance (Lavonda Horn, lavonda.horn@tsu.edu)
Signature:
Printed Name:
Date:
Approved Access
Role(s):
Module:
Financial Aid (Joy Dailey, joy.dailey@tsu.edu)
Signature:
Printed Name:
Date:
Approved Access
Role(s):
Module:
Student Accounting (Errol Thomas, errol.thomas@tsu.edu)
Signature:
Printed Name:
Date:
Approved Access
Role(s):
Module:
Human Resources (Stacie Hawkins, stacie.hawkins@tsu.edu)
Signature:
Printed Name:
Date:
Approved Access
Role(s):
Module:
Student(Lewanna Hobbs lewanna.hobbs@tsu.edu/Chantel Jefferson chantel.jefferson@tsu.edu)
Signature:
Printed Name:
Date:
Approved Access
Role(s):
713-313-4357 | Office Of Information Technology | Texas Southern University
3
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Office of Information Technology Use Only
Received By:
Received Date:
Received Time:
Completion Date:
Completion Time:
Completed By:
Applicant Notified:
Assigned Banner User ID:
Temporary Password:
713-313-4357 | Office Of Information Technology | Texas Southern University
4
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BANNER & UNIX ACCOUNT APPLICATION FOR EMPLOYEES (Texas Southern University)

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Completed 27 April 2021

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