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ILLINOIS STATE UNIVERSITY COMPUTER SERVICES
SIGNON PROFILE UPDATE REQUEST FOR TRANSACTIONS	Date Needed ___/___/___

Principal User:	Name _____________________________________________________________________________
	Dept   _______________________________________________________	Dept #   ________
	Phone ______ - _________	Date  ___/___/___

Principal User Signon Name

Add	Del	Transaction	Approved by Custodian of Transaction
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Confidentiality Statement:
	The undersigned acknowledges reading the Code of Responsibility for Security and Confidentiality of Data and hereby verifies understanding of its provisions and the duties imposed. In executing this acknowledgement the undersigned agrees to abide by the Code's provisions. Violation of the duties imposed under the code will result in disciplinary action.

Principal user signature ______________________________________________________	Date  ___/___/___
Supervisor signature ________________________________________________________	Date  ___/___/___
If Questions Call: ___________________________________________________________	Phone: _________
Comments ______________________________________________________________________________________
_______________________________________________________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Do not write below this line - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Received by _____________________________________________________________	Date  ___/___/___
Implemented by __________________________________________________________	Date  ___/___/___
User notified by __________________________________________________________	Date  ___/___/___

Profile name ________________________

Revised  5/3/89