Ellucian Colleague Data and Access Request Form

This form is used to submit a request for Colleague access to the program and/or Ellucian Colleague data.

  Date Required By:
 Name:     Email:      
  Position:   Department: 
   Select the type of access you require:

  Select the area of what you would like access to:

How often will you be using the data or Ellucian colleague?
Are you replacing an existing user?  If yes, who? 
  Describe or list the Report, Tables or Screens you want access to:
  Why do you need access?
  Supervisor Name:   Supervisor Email: