ASG-Cypress Repository Application Form - UW–⁠Madison Information Technology

"*" indicates required fields

Name*

First Last

Enter your first and last name

Department*

Enter the name of your department or group

Email*

Enter your wisc.edu email address

Phone*

Enter your area code and phone number

Report Title*

Enter the title of the report

Source application system*

( Payroll, etc )

Job name

( if known )

Report generation schedule*

( e.g. Fridays, end of month, etc )

Report generation frequency*

( daily, weekly, etc )

Cypress database retention duration*

( days )

Target recipients*

( students, faculty / staff, etc ) ( Only for those with access to My UW-Madison ) ( describe in system terms )

Unique recipient identifier ( ID ) for report delivery*

Developer / technical support contact name

( if known )

Developer / technical support division or department

Can you provide test data for development of the application and for other testing purposes?*

Yes

Preferred target date for initial delivery*

Will data contain sensitive information that will be displayed in the portal?*

Yes

What is the information?

( SSN, PhotoID#, etc )

What is the purpose of this request?*

Please describe the purpose of the request

Phone

This field is for validation purposes and should be left unchanged.