Departments can use the following template as the basis for their internal database access request forms.
Access Request Form Template
Campus Connect ID:
Access request for (data or role – note here if highly sensitive data is included in this request):
Access request level (read, modify, manage):
Business purpose for access:
Data owner (please print):
Data owner signature and date:
Supervisor signature and date:
Employee certifies that he/she agrees to maintain confidentiality of data in accordance with DePaul’s Access to and Responsible Use of Data Policy and Acceptable Use Policy including protecting his/her password from unauthorized use .
Employee signature and date: