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Longwood University
Request for BANNER Access

(Form must be printed and submitted to the Budget Office with an original signature) 

BANNER Access is Requested For:

LEGAL NAME:

First Name:    MI:   Last Name: 

E-Mail: 

Department: 

Building/Room#: 

Telephone Number:  395-

Have you attended BANNER training?   Yes   No

Reason for Requesting Access: 

I require access to the following Organizations/Funds:

Requested by: 
(Typed name of  Department Head/Budget Manager)

Supervisor's Signature: _______________________________________

Department: 

Date: 

Controller's Approval: ________________________________________

FOMPROF Created    By:  ____________________________________

                                    Date: ___________________________________

Fund/Org Security Created  By:  ________________________________

                                           Date:  _______________________________