Themis Responsibility
Application Form
Please be sure to read the following important notes before you proceed

This form is used to apply for access to University administration systems. For descriptions of responsibilities, please refer to the definitions web page: http://www.themis.unimelb.edu.au/forms/definitions.html

Training may be required before access is given to some Themis and all Merlin responsibilities. Please view the Themis web site http://www.themis.unimelb.edu.au/training/courses/ or the Merlin web site: https://studentadmin-staff.acs.unimelb.edu.au/ for training dates.

Please note that some responsibilities in Environment, Health & Safety incident reporting are not allocated via this form. For more information see: http://www.pb.unimelb.edu.au/ehs/ehs/incidentreporting/themis_resp.php3

Please complete all compulsory fields (indicated with *) and select the responsibilities you require. When the form has been printed and signed by your approver please fax it to the appropriate system administrators:

  • For Themis Access, fax to: 8344 2765
  • For Merlin or Student Admin, fax to IT Operations: 8344 2765

* Required fields
Part 1 of 4 - Personal Details
*Title *Family Name
  First Name *Employee Number
*Position Title   Username (if known)
*Phone Number   Email Address

Part 2 of 4 - Department and Budget Unit Details
*Current Department Previous Department (if changing department)
Your Current Departments

Your Old Departments
Budget Unit 
Your Budget Units

Part 3 of 4 - Required Responsibilities
Help pages
THEMIS
Selected THEMIS Responsibilities
Student Administration
Selected Student Administration Responsibilities

Part 4 of 4 - Authorisation by Head of Department
*Approver's Name *Approver's Position