REV: 4/10/19 AH
OFFICE OF THE REGISTRAR
MSC 105, 1050 W SANTA GERTRUDIS AVE
KINGSVILLE, TEXAS 78363-8202
PH (361) 593-2811 * FAX (361) 593-2195
www.tamuk.edu
DegreeWorks Access Request Form
If you have any questions about this form, please contact the Registrar’s Office at 593-2811
PLEASE PRINT Banner ID K_______________
__________________________________________________________________________________
Last Name First Name Middle Name
Department______________________________________ Phone__________________
Please check if you are: Faculty Advisor Other _____________________
_______________________________________________ UserID_________________
Applicant Signature Date
Please check if the exceptions/substitutions ability is required
Query Access (View Only) Modify Access
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Supervisor’s Printed Name
____________________________________________ _______________________
Supervisor’s Signature Date
Permissions Authorized (Registrar Use Only):
____________________________ ____________________________
____________________________ ____________________________
_______________________________________________ _______________________
Registrar’s Signature Date
Registrar’s Only: Access Effective Date__________ Initials______
Training Date___________________ Trainer Initials_____________