Only an administrator with the role of global administrator can provide consent for sapio365's Ultra Admin sessions. Feel free to send a global administrator to this page: How to provide admin consent to sapio365. If you have already registered an application ID, you'll need to tell which application ID you need consent for.
What can I access? How are my user rights handled?
Actual user rights are respected in the application—if you can see it in Office 365, you can see it in sapio365, but in a much larger scope.