FACULTY INFORMATION SYSTEM PROJECT FORM
This form is to request RBHS data from FIS. Please complete and return this form to Ella Taylor, Academic Affairs, Fax #973-973-5320.
NAME/DATE:
For FIS Use only
All fields are required.
SCHOOL/DEPT:
□
Verify data fields req’d
E-MAIL/PHONE:
□
Develop plan of action
POSITION:
□
Set up meeting
PRINTER MANUFACTURER & MODEL #:
□
Confirm w/ IST
PROJECT LEAD PERSON:
FIS Notes
Describe project request, including how data will be used.
Heat Ticket #, if req’d
Provide a list of data fields required, along with the format needed.
Type of faculty required: Paid
What RBHS Schools are needed:
Please attach output sample.
Unpaid
NJMS RWJMS
SDM
SHRP
SN
SPH
Requested by:
Dept. Manager/Supervisor:
Signature/Date/E-mail:
Approved by:
Dates
UFA Director:
Access Granted by:
Database Admin:
FIS/FIS Data Request Form-2015
Revised: 10/12/15