The NC State University Data Management (Ownership, Access, and Security) Administrative Regulation establishes specific rules and procedures for management, accessibility and security of University data files/records. NC State University administrative regulations and procedures specifically require all persons granted access to University data records to be aware of these rules and procedures. All individuals requesting access to University data records must read, sign and forward the entire form to the ETSS Solutions Center BEFORE ACCESS WILL BE GRANTED.  The completed forms will be kept on file by ETSS Applications Security.  It is also recommended that you read the NC State University Administrative Regulations on computer use at http://www.fis.ncsu.edu/ncsulegal/compuse.htm .

Instructions to complete the Information Security Acknowledgement Form

1.      Print both pages of the form from the web site. Click here to access the Information Security Acknowledgement Form.

2.      Complete the second page of the form.

3.      When entering the name in the ‘Employee’s Name (Print)’ field make sure that the name is legible.  Note: If we are unable to read the name we will not be able to enter the information into the ASAP Application.

4.      Once the form is completed, fax BOTH pages of the form to the ETSS Solutions Center at (919) 513-1407.