Exiting Employee Technology Change Requests

YOUR CONTACT INFORMATION

Since this request is for an exiting employee, please indicate who in your department should be contacted if there are questions regarding this request, as well as the Dean/Manager for this exiting employee.

Request Submitted by:

Submitter Email

Submitter Contact Phone

Dean/Manager Name

Dean/Manager Email

EMPLOYEE INFORMATION

Exiting Employee Name

Please enter: First, Middle Initial, Last

Lnumber

Department

Classification

Title

Lane Email Address

Office Extension Number

Contact Phone#

Office Location (Bldg/Rm)

EX: LCC02/110A, CG102, DCA200

Date Employee is leaving the college

TECHNOLOGY NEEDS

Existing Computer Used by this Employee

Additional Hardware

Select all items that are/were used by this employee

Additional Hardware Notes

Please list any additional hardware not listed in the above drop down list.

Pickup or Deliver to IT?

Please indicate if you would prefer to have the equipment picked up, or if you will ensure it is delivered to I.T.

IT to pickup from office location listed

Will be delivered to IT

N/A

Did this Employee have a scanner?

Yes

If Yes, will it be picked up or delivered to IT?

IT to pickup from office location listed

Will be delivered to IT

N/A

Should Phone remain for future employee?

Yes

Did this employee have drive mappings?

Yes

If yes, what drive mappings did they have?

Banner Access this employee had

Select all that are needed

Other Banner Access this employee had

Please enter any specific access needs here

Did this employee have VPN access?

Yes

Did this employee use specialized software?

Yes

If yes, what software?

Please list any software the employee used that is not part of the listing below. Adobe Acrobat Reader DC, Adobe Flash Player, Forticlient Antivirus, Google Chrome, Mozilla Firefox, MicroFocus iPrint Client, Microsoft Office, Microsoft Silverlight, Oracle Java SE, Oracle Java SE Development Kit, Screencast-O-Matic, and Zoom --Optional Software Bundle Adobe Creative Cloud VLC Player KeePass Notepad++

COMMENTS

Please enter any additional technology related information we should be aware of here. Thank you!

Comments

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