G:\implementation package\ComputerAccessSheet_to_convert_to_PDF.docx Revised: October 24, 2016
For Internal Use Only
Cuesta College Computer Access Sheet
Complete this form to establish a network account, which includes access to Cuesta e-mail and network drives.
If you need access to other programs or applications (i.e. SARS Grid, Xtender, etc.), list them in the bottom section.
The Department Supervisor must sign and send this completed form to Information Technology.
Allow 5 working days for computer access.
Complete one document per person. Please print clearly and legibly.
New: Update: MANDATORY! Last 4 digits of SSN: Start Date:
Name as it appears on your Social Security Card
Legal First Name: MI: Legal Last Name: Department:
Permanent Employee Part Time/Hourly Consultant Volunteer
Faculty Classified Administration Campus(es): SLO NC SC
Primary Campus: Room Number: Phone:
Server Applications Needed?
Application Profile (Please check all that apply): User to Copy
List the security classes needed for INB access, or you can list a person’s
name to mirror another users INB security classes.
Questions on this section?
Contact the appropriate department (i.e. Fiscal Services,
Financial Aid, Admissions & Records, etc.)
Argos Xtender
SARS Grid
Other Shared Drive?
Other?
Employee Signature ___________________________________ _Date ___________
Supervisor Signature ___________________________________ Date ____________
Print Supervisor Name ___________________________________________________
Degree Works
