CS Gold Access Form

If you see this don't fill out this input box.

*Name

Employee Full Name

*R#

*E-Raider Username

*Email Address

*Department

Please input the department you are currently employed with.

*Office Phone Number

*Supervisor

Please input the name of your supervisor

*Type of Access

New Access Request

Access Termination

*Has applicant read and signed the CS Gold security form?

Yes

No

*Please describe what the applicant will need to view in CS Gold.

*Has Applicant passed FERPA and is up-to-date on FERPA Training?

Yes

No

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