V 1.02b October 2019
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** An approved Data Access Waiver may additionally be required for students, consultants and other non-full-time employees. Requirements
can be found in the CUNY Information Technology Security Procedures found at security.cuny.edu under Policies and Procedures.
CUNY Schedule Builder User Access Request Form - Production
EMPLOYEE INFORMATION SECTION (Please Print):
Last Name: First Name: MI:
Job Title:
CUNYfirst Empl ID *:
Full time
Part time
**
If you are a student, please specify college:
**
_____________________________________
Business Unit / Campus: Dept / Office:
Work Phone: Ext: CUNY email address:
CONFIDENTIALITY STATEMENT (Must be signed by the Employee):
I understand that the data obtained from this system and its related components is considered confidential and NOT to be shared with anyone who is not
authorized to receive such data.
I understand that I am individually accountable for the use of my User ID in the Schedule Builder system. Improper use of my User ID could lead to
revocation of access rights and further disciplinary proceedings in accordance with CUNY policies, CUNY IT Security Procedures (security.cuny.edu), rules
and regulations, and applicable collective bargaining agreements.
Employee’s Signature: Date:
Managerial Approval (Requesting Supervisor) :
Business Unit / Campus:
Department / Office:
Last Name:
First Name:
Date:
Signature:
ADD DELETE ROLE DESCRIPTION
CU_VSB_Analytics
Ability to access Analytics data
CU_VSB_Advisor
Ability to access Advising/Scheduling
Academic Institution SACR Security
Select academic institution(s) user can access
LAG01
HTR01
Student Records - Central Approval:
(if required)
Last Name:
First Name:
Signature:
Date:
Student Records - Campus Approval:
Last Name:
First Name:
Signature:
Date:
Central Office Only Administrator Role(s):
ADD DELETE ROLE DESCRIPTION
CU_VSB_Admin*
Ability to change system configuration
Data Security :
ADD DELETE
Multi-institution access is for Central Office Administrator Only
This form is required to request access to the Schedule Builder system. This form must be approved by the employee’s supervisor.
Employees may NOT approve or grant access for themselves. For transfer employees, seperate forms must be completed to terminate
access at the original Campus and to establish access at the new Campus.