Nova Southeastern University
Office of Information & Technology
Online Banner Report Authorization
_______________________________________________________________________
INSTRUCTIONS:
1) Complete this form to authorize specific individuals for access to the NSU Online Banner
Report System
2) Fill in each person’s name, center and department code, phone number, Social Security number,
and NSU email account ID
3) Sign the form and fax it to 954-262-4871
4) User ID’s and PIN numbers will be issued to each authorized user of this system
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ONLINE BANNER REPORT AUTHORIZATION USER INFORMATION
Social Security Number _____________________________________________
First and Last Name _____________________________________________
Center/ Department Code _____________________________________________
Phone Number _____________________________________________
NSU Email Account ID _____________________________________________
Center Approval _____________________________________________
Dr. Hanbury’s Approval ______________________________________________
NSU Budget Security Approval ________________________________________
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FOR OIT OFFICE USE ONLY
Date request completed __________________
Completed by __________________________
Comments _____________________________