Community College of Allegheny County
R EQUEST FOR R EMOTE A CCESS (VPN) TO N ETWORK S ERVICES Completion of this form is required in order to request remote access to the College’s computer networks via a VPN ( V irtual P rivate N etwork) connection. VPN enables the user to create a secure connection to the College’s networks via the Internet to access campus computing resources from any off-site location. Remote access to the College’s computer networks and resources is a privilege, and requires authorization by both the requestor’s immediate supervisor and a member of the President’s Cabinet who oversees the requestor’s department. Use of VPN access for non-College related business is prohibited. VPN users are required to comply with College policies and regulations, and all relevant local, state, and federal laws, while using the College’s VPN. Please note that completion of this Form is NOT required in order to access the following remote services: outlook.ccac.edu, my.ccac.edu, courses.ccac.edu (Blackboard).
Requesting Employee
Supervisor
President’s Cabinet Member or Delegate
Full Name:
Department:
Location:
College Email:
Office Phone:
Mobile Phone:
Resources Requiring Access:
F: Drive U: Drive
Colleague Recruit
Advise Informer
ImageNow Kronos
Kronos Other: _________________________
Employee Type:
Provide Access on: ___ / ___ / ______ Expected Expiration : ___ / ___ / ______
Faculty Administrator Staff
Permanent Temporary
I, the undersigned, have read and agree to comply with all requirements as set forth in the College’s Board Policy Manual, its Remote Access to CCAC Computer Networks regulation, Information Security policies, and all terms listed in this document.
_____________________________________________________________
____________________________________________________
Requestor’s Signature
Date
To be completed by employee’s immediate supervisor: I hereby acknowledge that the Requestor needs remote access (VPN) to identified applications and folders to support college business.
___________________________________________________ Supervisor’s Approval Date
___________________________________________________ CIO or Cabinet Member’s Approval Date
Please consult with your immediate supervisor prior to submitting this form and be sure to sign and date the request. If you have any question or concern, please call ServiceDesk at 412-237-8700 or email to help@servicedesk.ccac.edu.
Appendix I
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