Los Angeles Unified School District
Information Technology Division
My Integrated Student Information System (MiSiS)
(Rev. 05/25/2021) http://misis.lausd.net
Please print all information. All fields are required unless marked ‘optional’.
NOTE: This form to be used for:
Users at schools with
transitioning administrators
All other users must apply via
OneAccess
http://oneaccess.lausd.net
Identification (to be completed by the user) Request Date:
Name (First) (MI) (Last)
Title Employee No.
E-mail
@lausd.net Phone ( ) ext.
School/Office Name Location Code
Confidentiality Agreement
As a user of the My Integrated Student Information System (MiSiS), I understand that I will have
access to confidential student, family, and employee records. In addition:
I understand that I am entrusted with protecting the information within this system, in
accordance with LAUSD bulletins 1077.1 (Information Protection Policy) and 2469 (Pupil Records:
Access, Confidentiality, and Notice of Education Rights), and state and federal confidentiality
laws.
I understand that I may not discuss information related to records with non-authorized
employees.
I understand that I must guard records from being viewed by non-authorized employees.
I understand that sharing my Single Sign-On (SSO) username and password will result in
immediate disciplinary action.
I understand that I must meet all requirements of the Acceptable User Policy (Bulletin 999),
located at the bottom right of the LAUSD website.
Violation of any of the terms above may result in disciplinary action, as specified in District bulletins 999
and 1077, as well as legal liability and/or penalty under state and federal confidentiality laws.
User’s signature Date
Site administrator’s signature Date Site administrator’s job title
@lausd.net
Site administrator’s full name (please print) Site administrator’s email address
Please note: Site administrators are defined as principals or assistant principals.
User Role Selection
Use A to add one or more user roles.
Use R to remove one or more user roles.
For ALL Schools
Categorical Programs Coordinator
Counselor
Discipline Admin Designee
Health Office
Office Manager
Option School User
Principal
Secondary Auxiliary Director
School Full Read
School GATE Coordinator
School Limited Read
Scheduling Administrator
Special Education Provider
Teacher (Certificated staff only)
Secondary Schools Only
Counselor Plus
Sec School Office Mark Reporting
Secondary Athletic Director
Summer School Only
ESY District Administrator
Remove Access from Previous
School/Location
(Name of previous school or location)
MiSiS Account Notification
Optional: Please also notify the person below once the account is ready for use.
Name Title E-mail:
@lausd.net
******* MiSiS/ITD Use Only *******
( ) Approved ( ) Disapproved Reason
MiSiS Date | | ITD Security Date | |
Attach this form to an online ticket for MiSiS at: https://lausd-myit.onbmc.com
For assistance with creating and/or attaching a form to a ticket, please call the ITD Help Desk at (213) 241-5200, option 5.
MiSiS Access Request Form for
SCHOOL-BASED PERSONNEL
click to sign
signature
click to edit
click to sign
signature
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