SPONSORED PROGRAMS KUALI RESEARCH ACCESS REQUEST

APPLICATION FOR:

NEW ACCESS

USER NAME (Last, First, Middle) HOME DEPT. NO.



ADDITIONAL ACCESS

CSU ID #:

DEPT. NAME





DELETE ACCESS

EID

TODAY'S DATE

E-MAIL ADDRESS

CAMPUS MAIL ADDRESS

PHONE NUMBER

Name & Phone # of Person Completing Form:

 There is a current employee or an employee being replaced in the department that has similar roles to copy Name of employee: UNIT SPECIFIC ROLES OSP maintains:  College Approver IS maintains:

 KC-UNT: Proposal Creator (5014)

 Department Approver

 Pre-Approver

 KC-PD: Aggregator (5013)

 KC-PD: Viewer (5010)

 Other Specific Roles (See Back) Assign these roles for these additional units in this college/division (Reference by Unit/Dept Number):

I understand that the data contained in KR is confidential. The access I am requesting is for my use in performing my job duties & responsibilities. I agree that my username & password will not be shared and I am responsible for any accesses logged against my username. In using my username & password, I will follow the policies & procedures of the University. I will not use another person's username and password. If I terminate employment with the University or my department, I will notify Sponsored Programs. Upon completion of the form, send to : Sponsored Programs, 2002 Campus Delivery, Fort Collins, CO 80523-2002, or email to [email protected]

Applicant's Signature

Print or Type Name of Supervisor

Date

Supervisor Signature

Date

FOR INTERNAL USE ONLY

Signed for Sponsored Programs by:

Date

D

File updated: 12/8/2016

List other Specific Roles to be added to this person Role ID

Namespace

Role Name

Qualifiers

File updated: 12/8/2016