PRODUCTION APPLICATION ROLE AUTHORIZATION

APPLICATION NAME: Job and Employee Management System (JEMS)

Note: Please indicate only one logon ID per form.

1. User and Position-Related Information
Logon ID: ______(Current user: write 3 character Login ID. New user: leave blank – Security will set value.) / 2. Revocation Action
Last: ______First:______MI:___ / q  Delete ALL JEMS access for this user
Title:______Empl ID #:______Phone:______
Work Address:______Email:______
Dept. Name:______Div/Schl: ______UDDS:______

3. Authorization(s): This section must be completed by user’s supervisor. Please specify UDDS value(s) of data that user will access for each requested system.

3a. System(s) authorized / 3b. Indicate
access level / 3c. Circle
action / 3d. For access to JEMS data for UDDS[1] / This column is for
Data Custodian use only>
For Database “UWP1”
JEMS CHRIS
(Classified Recruit/Hire) / q  Enter & Update / Add / Remove / ·  Add / Remove A_PVPVL_UPDATE
·  Add / Remove A_PVPVL_VIEW
·  Add / Remove A_PVCHRIS_ALL_ACCESS
Note to Security:
5-0667
JEMS PVL
(Unclassified Recruitment) / q  Enter & Update / Add / Remove
q  View Only / Add / Remove
JEMS Rate/Title Change
(Unclassified) / q  Enter & Update / Add / Remove
q  View Only / Add / Remove
JEMS Hire
(Unclassified Hire) / q  Enter & Update / Add / Remove
JEMS Changes
(Classified Unclassified) / q  Enter & Update / Add / Remove

[1] *** Assign only the highest level of data access appropriate for the user’s position (e.g., A53 orA5349) ***

4. Legal Agreement

Your use of University computing resources is restricted to authorized University of Wisconsin business. You will be held responsible for security breach traceable to you or your assigned logon identification initials. You will be held liable for any willful misuse or deliberate system damage traceable to you or your logon identification initials. It is your responsibility to comply with the provisions of the Federal-Family Education Rights and Privacy Acts (FERPA), the University of Wisconsin-Madison Policy on Student Records, and the UW-Madison Policy on Faculty and Staff Racial/Ethnic Heritage Data (governed by Wisconsin Public Records Law and by state and federal law) to protect the confidentiality of personal-identifiable information.

Violation of this agreement may result in disciplinary action or legal action or both.

I HAVE READ THE ABOVE TERMS AND AGREE TO THE TERMS.

User Signature______Date______

Supervisor Signature______Date______

Supervisor Name (Print) ______Phone______

Dean/Director or Designee Signature______Date______

Dean/Director or Designee Name (Print) ______

Data Custodian Approval______Date______

Send COMPLETED and SIGNED form to APO Data Custodian in 166 Bascom Hall.

Rev: 02/10/2011