Student Employment Request: Remove Supervisor Access from your Department

This form is used to change or delete supervisor access from your department. Please note that only authorized supervisors or Business Office Personnel may request removals of access

1. Your Name
2. Your Email Address
3. Your Department Name:

Supervisor Information

4. Name:
5. NetID:
6. Department/Business Unit to which they belonged:
7. Job Type:

Supervisor Access:

8. Check all access you would like removed:

9. Additional Comments about Access:

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