Request for Access to Mainframe Web Documentation


Applicant Name: __________________________________________
Job Title: __________________________________________
Office Phone: __________________________________________
Department: __________________________________________
KSU Userid: __________________________________________
Requested Password: __________________________________________
Type of Access Requested:
____   New
____   Delete


Please print, sign, and date this form then give it to your supervisor for authorization.


Applicant Signature:     _______________________________ Date:________

Supervisor Signature:   _______________________________ Date:________



    SEND COMPLETED FORM TO:
    Security Administration
    Office of Information Systems
    Foundation Building
    Kansas State Unversity
    Suite 215