FILL OUT FORM ON-LINE & EMAIL
Information Technology Department
helpdesk@oru.edu
Phone: 918-495-6315
Fax: 918-495-6312
REQUEST FOR
New Banner User ID/Change in Banner Rights
(Staff Member Only Information – Student Workers Please Use Student Worker Form)
Request Date:
New Banner Acct
Add Banner Rights
Remove Banner Rights
(Current Novell or Banner User ID)
Name
First Middle Initial Last
Z# Position Title
Dept: Location: Phone:
Department Head Signature: ______________________________________ Phone:
Type Dept Head Name: Title:
Banner Screen F/P/R Type of Access Form Owner (Type) Form Owner Signature
F/P/R = Form / Process / Report
Types of Access:
Form Access: Q=Query Only, M=Modify and Query
Process/Report Access: E=Execute, Blank=None
I understand that the access I am requesting may contain information that is protected by the Family Education Rights and Privacy Act. (FERPA). I also understand
that disclosure to unauthorized parties is a violation of FERPA. When accessing the Banner system, I must only access information needed to complete my
assigned task. This information may only be communicated to authorized parties in accordance with the provisions of FERPA.
I agree to maintain the confidentiality of my password and to use my access to ORU information for authorized purposes only.
Name: Date:_______________________________
Signature: ____________________________________________________________________________
______________________FOR INFORMATION DEPARTMENT USE ONLY__________________________
Ticket # ___________ Dept. Container:__________________________ Expire Date:
(Every 120 days)
Banner UserID: _____________________________ Banner Password: __________________________
(This is a temporary password that will expire upon first use)
Completed by IT: ______________, ____________________
click to sign
signature
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click to sign
signature
click to edit
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