This form must be submitted by individuals whom need direct access to data that resides in a Student System via CUSTOM Reports or when using an ODBC or SQL connection to extract data from the system, in situations where a built-in feature in the system doesn't already allow the user to do so easily.

Student Systemrequired

What student system is this request for?

Districtrequired

What school district is this request for?

User Information:

First Namerequired

Last Namerequired

Job Titlerequired

Street Addressrequired

Cityrequired

Staterequired

Ziprequired

Your School Phone #required

Your School Emailrequired

Request Details:

Request Typerequired

Active Directory Usernamerequired

What is the username that you type in when logging onto your windows computer while at work?

Account Type*

What type of account is needed?

Ready Only Read/Write DBO Account System Admin

Account Types Key:

Account Type	Description
Read Only	Allows users to only view data in every table in the student system - this is the account type you need if you are only running pre-made CUSTOM reports.
Read/Write Account	Allows user to view and write data to the tables in the student system
DBO Account	Blocks user from making system-wide changes, but user has "ownership" rights to the database that you're DBO of. User can make changes to the database, schema, views, etc, but only to that database.
System Admin Account	User has global access to the district database and MSSQL, can create custom tables and views, drop tables, delete data, etc.

Sign Off:

By submitting this form, you acknowledge the following:*

The account you will receive grants you full access to view all data stored in the student system including data protected by FERPA or HIPAA, and you agree to assume full responsibility for data breaches or damages caused by you accessing data you may not otherwise be authorized to access. You understand that the access you will receive to data in the student system, makes you personally accountable for ensuring that the data you have access to, falls only into the hands of individuals whom are authorized to view the data. You understand that with the account you will receive, you can potentially cause issues that could prevent time sensitive processes such as grading or attendance from occurring in the student system. By using the account you will receive, you assume full responsibility for any service disruptions, errors, data issues, data inaccuracies, and/or system performance issues that might result from modifications that you might make to the database and/or to data stored in the database. You understand and agree that depending on how you use of the account you will receive, you may void warranties provided to your school under the student systems End User License Agreement. You understand and agree that any issues that you might cause by using the account you will receive, may be billable to the district by both the vendor for the system system and EduTech, which includes but isn't limited to support costs, data remediation or recovery of corrupted data. You understand and agree that the vendor for the student system your school uses, at it's sole discretion, shall determine the cause of and responsible party for any database modification, corruption, breach, etc. You recognize that this request will not be processed until your schools Information Technology Coordinator approves of the request.

IMPORTANT: You must check all of the boxes above to complete sign-off - failure to do so will result in your request being rejected.

Technology Coordinator:

Technology Coordinatorrequired

What is the first and last name of your school's technology coordinator?

Tech Coordinator's Emailrequired

What is the email address for your tech coordinator?