Security Access Request
Name
(Required)
First
Last
Title
(Required)
Role
(Required)
Staff
Volunteer
Supervisor/Ministry Lead
(Required)
Email
(Required)
Phone
(Required)
Campus
(Required)
Rolling Meadows
Elgin
Crystal Lake
Aurora
Cathedral
North Shore
Department
(Required)
Harvest Kids
Worship
Production
Adult’s
Young Adult’s
Volunteer
Operations
HCA
Camp Harvest
Centralized Ministry
Which buildings do you need access need to?
(Required)
Rolling Meadows
Elgin
Crystal Lake
Aurora
Cathedral
North Shore
What Days do you need access?
(Required)
Sunday – Thursday
Monday – Friday
Seven Days a week
Weekend
Specific Day
Specific Day
(Required)
What Time of Day do you need access?
(Required)
Business Hours 7am – 6pm
Business and Evening Hours 6am – 9pm
Evening Hours 3pm-9pm
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Staff Approver
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Volunteer Approver
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Security Email
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Approved to Grant Acess
(Required)
Yes
No
Comments
This field is for validation purposes and should be left unchanged.
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