CheckMarq Student Record/Imaging/Courseleaf/CLSS Administrative Access
Purpose: Completed by the supervisor of all staff or administrators requiring access to student records in CheckMarq, CLSS, ImageNow and/or CourseLeaf; also required for staff or
administrators who have access to any of these functions, but moved to another college/school/department/office or changed positions within the college/school/department/office.
Section 1: Supervisor Information
Supervisor Instructions
1. Complete Sections 1-3 of this form using a computer.
a. a handwritten form will not be accepted.
b. an incomplete form will not be processed and will be returned to you for completion.
c. access will not be granted until all required forms have been received.
2. Print the form using the 'Print Form' button.
3. Sign the form in Section 4; a digital signature will not be accepted.
4. Email this form to the Office of the Registrar to otrdocs@marquette.edu.
NOTE:
a. Any person seeking access must take the online FERPA training and forward the signed Certificate of Completion and FERPA Confidentiality Agreement to the Office of the Registrar
along with this form.
b. A Request for CheckMarq Schedule of Classes Role: Instructor/Adviser/TA/Other
is required for a faculty member, TA, D2L Facilitator, etc. who also need to be attached to the
Schedule of Classes in CheckMarq.
Rev. 4/2017
I certify that the individual identified above requires the access indicated as part of his/her job responsibilities.
Section 2: Individual Requiring Access or Modification of Access
current access will be removed when the new access is created
Username
MUID
Title
College/Dept/Office
Signature of Supervisor
College/Dept/Office
Title/Position
Section 3: Action Required (check all that apply)
Provide the same CheckMarq access as:
, who is:
Leaving the University
Moving to Another College/School/Department/Office (new form needed)
Responsibilities Changing in same College/School/Department/Office (new form needed)
Continuing with the Same Responsibilities in the same College/School/Department/Office
Provide Additional CheckMarq Access
Type of additional access required (e.g. view student biographic/academic information, grant permission numbers)
FERPA training completed and the needed signed documents are on file in the Office of the Registrar.
Yes
No (if No, FERPA training must be taken now)
Provide Imaging Access
Email
@marquette.edu
Provide Courseleaf Access
does this person still require CheckMarq access?
No
Yes
No
Yes
does this person still require CheckMarq access?
Date
Section 4: Signature of Supervisor
Auditor/Contractor/Vendor; end access on
Appointment Not Paid by Marquette; end access on
Marquette Employee
Check One:
(date):
(date):
@marquette.edu
Email
Phone
Cancel all access
Name
Last name, First name, Middle name
Name
Last name, First name, Middle name
Provide CLSS Access
Provide Schedule Planner Administrative Access
