CBORD Door Access Authorization Form
Please grant access to: 8/10/2017
______
Name ID # Expiration Date (optional) Department (if Faculty or Staff)
Please list all areas this individual will need access to:
______ALL AREAS - ETSU Service Personnel Only – (i.e. Physical Plant, Custodial, ITS, Public Safety)
Alexander Hall
_____Alexander Hall F/S - Full Access
_____Alexander Hall Custodial – Full Access
Brown Hall
_____ Faculty/Staff – Full Access
_____ Graduate Assistants – Full Access
_____ Students – Limited Access
Center for Physical Activities (CPA)
_____ Campus Recreation Staff – Full Access
_____ Campus Recreation Grad Asst – Full Access
_____ CPA Custodial Staff – Full Access
Facilities Management/Maintenance
_____Facilities Man – Admin & Support
_____Campus Custodial - Female
_____Campus Custodial - Male
_____Housing Maintenance
_____EcoNuts
Gilbreath Hall – Lower Level
_____Faculty/Staff - Full Access
_____Students - Limited Access
Hutcheson Hall – Front Door
_____NTFD & DHYG - F/S - Full Access
_____NTFD & DHYG – Grad Students - Limited Access
_____NTFD & DHYG – UGrad Students - Limited Access
Lamb Hall
_____Lamb Hall – F/S
_____Lamb Hall – COPH Doctoral Students
_____Lamb Hall – Grad Students
Mathes Hall
_____Music - F/S – (16 doors)
_____Band Room - (1 door)
_____Smart Rooms – (9 doors)
_____Percussion Student – (10 doors)
_____Steinway Student – (13 doors)
_____Tuba Student – (10 doors)
_____Music Choral Library (1 door)
Memorial Center (MiniDome)
____ MiniDome Staff
Nell Dossett
_____3rd Floor Offices
Nicks Hall
_____CASS F/S – Full Access
_____CIS F/S – Full Access
_____Nursing F/S – Full Access
_____Nicks ITS Staff – Limited Access
_____ITSStaff – Full Access
_____Recording Studio F/S - Full Access
_____Recording Studio F/S - Limited Access
_____Recording Studio Student #3820
_____Recording Studio Student #4810
_____Student Clinic Admin
Parking Garage
_____Welcome Center F/S - Full Access
_____Public Safety Admin - Full Access
Ross Hall
_____GeoSciences F/S
_____GeoSciences Grads
_____GeoSciences Students
_____Res&Spon F/S
_____Roan Scholar F/S
_____Roan Scholar Students
Sam Wilson
_____Bluegrass F/S
_____Bluegrass Adjunct Faculty
_____Bluegrass Inst/Band Students
_____Bluegrass Live/Sound Students
Sherrod Library
_____Library F/S - Full Access
_____Library - Graduate Asst’s – Limited Access
_____Special Services Students – Limited Access
_____Adjunct Study Room – Full Access
_____ITS Help Desk
University Center
_____East Tennessean Staff – Full Access
_____East Tennessean Students – Full Access
Warf-Pickel Hall
_____Little Bucs Staff – Full Access
_____Little Bucs Student Workers – Limited Access
_____Little Bucs Family – Limited Access
_____Little Bucs Evening Care – Limited Access
Wilson-Wallis Hall – Lower Level
_____CIS F/S - Full Access
_____CIS Students - Limited Access
Yoakley Hall
_____ Honors/Com&Behavioral Health F/S – Full Access
_____ Honors Students – Full Access
_____ Veterans – Full Access
______
Authorized By (print or type) Signature Phone #
______
Department Job Title Date
Please send this form to the ID Services Office, access should be granted within 48 hours. (Excluding weekends)
Campus ID Services Office Campus P.O. Box 70611 Voice: 9-8316 Fax: 9-8305 E-Mail: