CBORD Door Access Authorization Form

Please grant access to: 8/10/2017

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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

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Authorized By (print or type) Signature Phone #

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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: