ࡱ> npmg ^bjbjVV jr<r<Y$   Ppd %hzpRRR0v\$$$$$$$$':*j#%!pp"!!#%RR%$$$!FRR$$!$$$$RђrQ!R$$%0%$*G"*$*$`|$d`O#%#%+$^%!!!!* : Security Access Request Form Name: FORMTEXT      Date: FORMTEXT  DATE \@ "MMMM d, yyyy" August 3, 2011August 3, 2011Title/Position: FORMTEXT      Department: FORMTEXT      Position Type: FORMDROPDOWN Campus: FORMDROPDOWN Phone: FORMTEXT      Supervisor: FORMTEXT      Birth Date: FORMDROPDOWN   FORMTEXT      ,  FORMTEXT      Employee ID: FORMTEXT      Email: FORMTEXT      Request Type: FORMCHECKBOX  New Reason for Request: FORMTEXT       FORMCHECKBOX  Change Current User ID  FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT   FORMTEXT       FORMCHECKBOX  DeleteI agree to comply with Wytheville Community College s Acceptable Computer Use Policy for Information Technology Resources as attached.Employee s Signature:Date: FORMTEXT      Supervisor s Signature:Date: FORMTEXT      Alternate Data Owner s Signature (SIS Access only):Date: FORMTEXT      Security Officer s Signature:Date: FORMTEXT      Computing Services Signature:Date: FORMTEXT      Date Request Completed by CS Staff: FORMTEXT       Employee Acceptable Use Agreement As a user of the Virginia Community College System's local and shared computer systems, I understand and agree to abide by the following acceptable use agreement terms. These terms govern my access to and use of the information technology applications, services and resources of the VCCS and the information they generate. The VCCS has granted access to me as a necessary privilege in order to perform authorized job functions at the institution where I am currently employed. I will not knowingly permit use of my entrusted access control mechanism for any purposes other than those required to perform authorized employment functions. These include logon identification, password, workstation identification, user identification, file protection keys or production read or write keys. I will not disclose information concerning any access control mechanism unless properly authorized to do so by my employer. I will not use any access mechanism that the VCCS has not expressly assigned to me. I will treat all information maintained on the VCCS computer systems as strictly confidential and will not release information to any unauthorized person. I agree to abide by all applicable state, federal, VCCS, and college policies, procedures and standards that relate to the Information Security Policy and the Computer Acceptable Use Guideline. I will follow all the security procedures of the VCCS computer systems and protect the data contained therein. If I observe any incidents of non-compliance with the terms of this agreement, I am responsible for reporting them to the Information Security Officer and management of my Institution. I understand that the VCCS Information Security Office, or appropriate designated college officials, reserve the right without notice to limit or restrict any individual's access and to inspect, remove or otherwise alter any data, file, or system resource that may undermine the authorized use of any VCCS or college IT resources. :FH\^`jlz|   ( * > @ B ܳ접}g}XE%jh/9CJOJQJUaJh}h/9CJOJQJaJ+jth}h}CJOJQJU^J'h}h}CJOJQJ^JmHnHuh}h}CJOJQJ^J%jh}h}CJOJQJU^J*jh/9CJOJQJUaJmHnHu%jh/9CJOJQJUaJjh/9CJOJQJUaJh/9CJOJQJaJh/9OJQJ:Fnz  5kd$$Ifl\_|)m   t0)644 la``$IfXD(YD(gd!E $``$IfXD(YD(a$gd!E  ( P h 7kd$$Ifl\_|)m   t0)644 la``$IfXD(YD(gd!E $``$IfXD(YD(a$gd!E B L N h j ~      . 0 2 < > X Z n p r λΫvcP%jXh/9CJOJQJUaJ%jh/9CJOJQJUaJ%jh/9CJOJQJUaJ+jhOnh/9CJOJQJUaJhOnCJOJQJaJjhOnCJOJQJUaJ%jh/9CJOJQJUaJh/9CJOJQJaJjh/9CJOJQJUaJ*jh/9CJOJQJUaJmHnHu   @ 7kd$$Ifl\_|)m   t0)644 la$``$IfXD(YD(a$gd!E ``$IfXD(YD(gd!E @ X  . 7kd$$Ifl\_|)m   t0)644 la``$IfXD(YD(gd!E $``$IfXD(YD(a$gd!E r | ~       * . 0 D F H R T λΨΕΉycyMy*jheCJOJQJUaJmHnHu+j heh@&sCJOJQJUaJjheCJOJQJUaJheCJOJQJaJ%j h/9CJOJQJUaJ%j h/9CJOJQJUaJ%jh/9CJOJQJUaJh/9CJOJQJaJjh/9CJOJQJUaJ*jh/9CJOJQJUaJmHnHu. 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I further acknowledge that should I violate this agreement, I will be subject to disciplinary action. Employee/Consultant Name (Print)  FORMTEXT      Date  FORMTEXT  DATE \@ "MMMM d, yyyy" August 3, 2011August 3, 2011 Employee/Consultant Name (Signature)Employee ID:  FORMTEXT      Institution/College: Wytheville Community CollegeDepartment/Office  FORMTEXT Information Technol(M)M*M4M5MN N NNNNN.N0N`NbN~NNNNNNNNNNO OO"O$O&O0O赨pfR'jG hSh/9OJQJU^JheOJQJ^J!j*h|OJQJU^Jh|OJQJ^JmHnHuh|OJQJ^Jjh|OJQJU^JhD7+hSOJQJ^JhD7+hSOJQJ&jhSOJQJU^JmHnHu'jh~hSOJQJU^JjhSOJQJU^JhSOJQJ^J 0O2O6O\O^O`OOOOOOOOOPXXXX X$X&X*X,X0X2X6X:X>gd/9Ukd"$$If0(x622 l4atdd$If[$\$gd/9Ukd $$IfZ0(x622 l4atogy Systems     -  PAGE 2 -  FILENAME \p M:\Shared\WCC\SIS Security\Security Access Request Form.doc  DATE \@ "MM/dd/yyyy" 07/28/2011,  TIME \@ "h:mm AM/PM" 9:29 AM WYTHEVILLE COMMUNITY COLLEGE 1000 East Main Street % Wythevill$X(X*X.X0X4X6XTXXxYzY^V^X^^^^^gd/9 !$$<xa$$d&d P#a$$a$$a$Y0Y2Y6Y8YdYfYtYvYxYzY|YYYYZ^^V^X^Z^t^v^^^^ȶnanOnDhfk<CJ OJQJ#hfk<CJ OJQJhmHnHuhfk<CJ OJQJh!jhfk<CJ OJQJUhhfk%hfk5B* CJOJQJ\^Jph"4UhfkB* OJQJ^JaJph"4hfkB* OJQJ^Jph"4"hfk5B* CJOJQJ^Jph"4jhfkUmHnHuhfkCJaJhfkCJaJjhfkCJUaJh MCJaJmHnHue, VA 24382 Information Technology Systems  FILENAME \p Document2  DATE \@ "MM/dd/yy" 07/28/11 ^^^^^^^^^^hD7+hSOJQJh$Vnhfk h M<CJ OJQJmHnHuhfk<CJ OJQJjhfk<CJ OJQJU 3 0&P1h/ =!"#`$`% 9 0&P1h:p/9/ =!"#`$`% nb`XPNG  IHDRasRGBgAMA a cHRMz&u0`:pQ< pHYsiTS6PLTE+++999HHHVVVrrrddd IDATxrH `ewkvXilI-LGeC઱DgEtYDg^5\ԉyulNtDDܜՉ<:ї<:=:ї<:gV'Rs'V'rD_nNt@D_aNt@D_cT/Bty%uX_RY=:ך˕p Ge":yQ'zsS'c]@ M*D4ϥNtsH[WYUDG\D2O ѵ:]<:͉NtAϢN;܉^N"hf<ܷ76룇0':y,QCGcI6z$sR!} I(|s Án| #}"NSU.K}Cl#]3kit]>Qw@wH|=>|;e0'%ϭTҟ/-yOn-K,[1WOnknɆ橲Y.-L)Ƿ.!ɭrtD>4ˆ~v+k:]@W\zG_iBSX芮~vmc~+0٭npz+nŏ5ÃKog7s靛SH27}:7cM4n&M(o. ~6i#@smu=Y#h:FAČi"m/h>w*fa95?,ݠG3SoA?l4Бzan~_}я1[R|$QK4SNsC³]R|o:5_Ns *ތzr GSh ݣ)κME0\_uDw93N0i(KS'Cy$՗7NtE'ͭi2):cDɍ-ço8~qiJ=R Nh|QM^,in ЏZ3:5Owwet,>4_]Mh'6~Ģ+i~U/:4Od5{ͫkau߬ ToC̏_oϕ`<5D_F/L/HIENDB`tDText6DZ MMMM d, yyyy$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / / /  / tDText7tDText8$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / / /  Df Dropdown3Adjunct Administrator ClassifiedFacultyWageDf Dropdown2WCC Main CampusGalax Education CtrSmyth Education Ctr$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / / / / tD Text9vDText10$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / / /  / ,Df Dropdown1 JanuaryFebruaryMarchAprilMayJuneJulyAugust SeptemberOctoberNovemberDecembertDText2tDText1tDText3$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / / / / vDText11tDeCheck1$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / / vDText12tDeCheck3vDText15vDText15vDText15vDText15vDText15vDText15vDText15$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / vDText13tDeCheck2$$If!vh#v#vm #v#v :V l t0)6,55m 55 / / / / / $$If!vh#v):V l~ t0)6,5)/ vDText14$$If!vh#v #vs#v#v$ :V l t0)6,5 5s55$ / / / / / / /  / vDText14$$If!vh#v #vs#v#v$ :V l t0)6,5 5s55$ / / / / / /  / vDText14$$If!vh#v #vs#v#v$ :V l t0)6,5 5s55$ / / / / / / /  / vDText14$$If!vh#v #vs#v#v$ :V l~ t0)6,5 5s55$ / / / / / / /  vDText14$$If!vh#v #vs#v#v$ :V l t0)6,5 5s55$ / / / / / / /  vDText14$$If!vh#v #v#v$ :V l t0)6,5 55$ / / /  rDNameDZDate MMMM d, yyyy$$If!vh#v#vx:V 655x/ /  / 22 l4 atD SSN ###-##-####$$If!vh#v#vx:V Z655x/ / / /  22 l4 atDText4Information Technology Systems$$If!vh#v#vx:V 655x/ / / /  22 l4 at^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH 8@8  Heading 1$@&5B@B  Heading 2$$@&a$5CJ>@>  Heading 3$$@&a$5DA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 8"@8 Caption$a$5CJ4@4 Header  !4 @4 Footer  !.)!. 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