Slate Apply User Access Request Form

Requestor Information

Security requests for Slate Apply can only be submitted by the Security Administrator or direct supervisor of the employee needing access. Employees may not request their own access.

*Please confirm that you are the Security Administrator or direct supervisor of the employee for this request.

*Requestor First Name:

*Requestor Last Name:

*Requestor KSU Email Address:

*Purpose of this request:

*Are you requesting the re-activation of this existing Slate Apply User's access with no changes?

Please note all current access for this user will be removed and replaced with the requested access in the following section. Please be sure to request all access that is required.

So that you can make the most informed decision on what access to request for this inactivated user, please complete the fields below. We will then send you a report of all the current access on this user's account. Once you receive that, you will then need to return to this request form and submit the appropriate reactivation.

Information for Staff/Faculty/Student Needing the Access

Information for Staff/Faculty/Student Needing Access Removed

𝙋𝙡𝙚𝙖𝙨𝙚 𝙉𝙤𝙩𝙚: 𝙀𝙖𝙘𝙝 𝙚𝙢𝙥𝙡𝙤𝙮𝙚𝙚/𝙨𝙩𝙪𝙙𝙚𝙣𝙩 𝙬𝙤𝙧𝙠𝙚𝙧 𝙣𝙚𝙚𝙙𝙞𝙣𝙜 𝙖𝙘𝙘𝙚𝙨𝙨 𝙗𝙚𝙡𝙤𝙬 𝙢𝙪𝙨𝙩 𝙝𝙖𝙫𝙚 𝙖 𝘾𝙤𝙣𝙛𝙞𝙙𝙚𝙣𝙩𝙞𝙖𝙡𝙞𝙩𝙮 𝙁𝙤𝙧𝙢 𝙤𝙣 𝙛𝙞𝙡𝙚. 𝙄𝙛 𝙮𝙤𝙪 𝙖𝙧𝙚 𝙣𝙤𝙩 𝙖𝙗𝙡𝙚 𝙩𝙤 𝙫𝙚𝙧𝙞𝙛𝙮 𝙩𝙝𝙖𝙩 𝙖 𝘾𝙤𝙣𝙛𝙞𝙙𝙚𝙣𝙩𝙞𝙖𝙡𝙞𝙩𝙮 𝙁𝙤𝙧𝙢 𝙞𝙨 𝙤𝙣 𝙛𝙞𝙡𝙚 𝙬𝙞𝙩𝙝 𝘼𝙘𝙘𝙚𝙨𝙨 𝙈𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩, 𝙥𝙡𝙚𝙖𝙨𝙚 𝙝𝙖𝙫𝙚 𝙩𝙝𝙞𝙨 𝙪𝙨𝙚𝙧 𝙘𝙤𝙢𝙥𝙡𝙚𝙩𝙚 𝙩𝙝𝙚 𝙛𝙤𝙧𝙢 𝙪𝙨𝙞𝙣𝙜 𝙩𝙝𝙞𝙨 𝙡𝙞𝙣𝙠: Kent State Confidentiality Form

Is this request for a student worker or graduate assistant?

Student Worker/ Graduate Assistant Confirmation

Please do not proceed until you have confirmation that Access Management has assigned the student worker/graduate assistant a Student Worker (_stu) account. More information regarding this requirement and departmental sponsorship can be found here: Kent State Guest Accounts

*Does this user have their Student Worker account (_stu) assignment from Access Management?

Please enter information on the employee/student worker for whom you are requesting Slate access. (Complete one form per user.)

*First Name:

*Last Name:

Preferred/Short Name:

*Please enter the FlashLine User ID for this student worker or graduate assistant (must end in _stu):

*Please enter the KSU Email Address for this employee:

*Title:

*Supervisor Name:

*Supervisor Email:

Briefly describe the Slate Apply access that is needed:

*Please select the Department or Academic Area for this request:

*Please enter the Administrative Unit:

*Please select the College for this request:

*Type/Level of Request:

*Please select the Slate Role(s) needed for this employee/student worker: Description of Slate Roles
(Hold down the control key to select more than 1 role at a time.)

*Please select all of the Permission(s) needed for this role:
(Hold down the control key to select more than 1 permission at a time.)

If there is any other type of unique access that is required for this user that was not explicitly listed within one of the role options above, please list it here:

*Please select the Graduate Slate Role needed for this request: Description of Slate Graduate Roles

*Ambassador Crawford College of Business and Entrepreneurship Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*Aeronautics and Engineering Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*Architecture and Environmental Design Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*Arts and Sciences Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*Communication and Information Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*EHHS Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*Nursing Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*Public Health Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

*College of the Arts Programs Requiring Slate Apply Access:
(Hold down the control key to select more than 1 program at a time.)

If this request is for a Student Worker/Graduate Assistant/Temporary Worker please provide an anticipated contract end date:

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