Employee ELM Access Form

EMPLOYEE ELM ACCESS FORM

Use this form to request creation, modification or removal of access to the Enterprise Learning Management (ELM) system. Completion and submission of this form constitutes a written request and authorization from the employee and establishes the record of approvals required to provision ELM access. Provide complete, accurate information; incomplete forms may delay processing.

Personal Information

Position Information

Start Date:    Salary (annual):

Employment History (Most Recent)

Employment History (Prior)

Education

References (Professional)

ELM Access Requested

Select role(s) requested:

Learner    Instructor    Manager    Administrator

Modules / Capabilities required (check all that apply):

Course Catalog    Reporting / Analytics    Content Authoring    Compliance Tracking

Requested Access Effective Date:     Requested Access Expiration Date (if temporary):

Security, Training & Acknowledgements

I acknowledge that ELM access is provisioned in accordance with corporate security policies. I agree to maintain the confidentiality of my credentials, to not share accounts or passwords, and to comply with all applicable information security and data handling requirements.

I acknowledge that mandatory ELM security and privacy training will be completed prior to use of elevated privileges.

I have read and will comply with ELM acceptable use policies and data protection obligations.

Legal Disclosures

At-Will Employment: I understand that submission of this form does not alter the at-will nature of employment between the organization and the employee, and that access privileges are granted at the organization's discretion and may be revoked at any time.

Equal Opportunity: The organization is an equal opportunity employer. Access decisions are made on legitimate business needs without unlawful discrimination.

Authorization: By submitting this form, I authorize Human Resources and Security Operations to contact prior employers and relevant references for verification purposes and authorize any required background checks in accordance with applicable policy.

I authorize verification of the employment history, education and references provided and consent to background checks where applicable.

Manager & IT Processing (Internal Use)

Manager approves the access requested above.    Approval Date:

IT has provisioned requested access.    Provision Date:

Applicant Certification

I certify that the information provided on this form is true, complete and accurate to the best of my knowledge. I understand that falsification or omission of material information may result in disciplinary action. I further acknowledge that access is granted under conditions that require compliance with organizational policies, and that misuse of ELM access may subject me to disciplinary action up to and including termination.

I certify the foregoing and authorize processing of this request.

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