Technology Request FormRequest for technology changes related to staff changes - new employees, moving or transferring employees, and exiting employees. Person Filling This Form Out (Your Name) * Your Email Address (To receive a confirmation of this form submission) * Contact info Reason for Request: * New Hire Termination Transfer-Move Employee L Number * First Name * Middle Initial Last Name * Status * Full Time Part Time Timesheet Employee Classification * Staff Faculty Management Student Worker If Student Worker: Workstudy Learn and Earn Co-op LETS Effective Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20182019202020212022 New employee: Please enter their start date. Transferring or relocating employee: Please enter their transfer or relocation date. Exiting employee: Please enter their exit date. Request Type * New Employee Relocating Employee Exiting Employee (New or Current) Department Admin. Assistant Name (New or Current) Department Admin. Assistant extension (New or Current) Department Admin. Assistant Email Previous Department Admin. Assistant Name (if applicable) Previous Department Admin. Assistant extension Previous Department Admin. Assistant Email Former Admin Assistant Former Location and Supervisor Former Department Former Building and Room Number For example, 2/191 Previous Direct Supervisor Name Previous Direct Supervisor Email Previous Direct Supervisor extension Future Location and Supervisor Future Department Future Building and Room Number For example, 2/199 Future Direct Supervisor Name Future Direct Supervisor Email Future Direct Supervisor extension Public SafetyNOTE: The direct supervisor must issue key and/or keycard request(s).Key requests must be submitted through Megamation, and keycard requests must be emailed to keycard@lanecc.edu. Keys are issued through Facilities Managment & Planning. Keycards are re-issued through Public Safety. Information Technology Telecommunications Phone Line * New Existing Existing extension # Shared extension # (if applicable) Phone Type * Standard MultiLine Long Distance Needed? * Yes No FOAP to charge for Long Distance If there is a phone currently in this location, should it remain? Yes No How will the equipment be used? Computer Hardware and Software Computer Hardware Needed? * Yes No Is there existing hardware already in this location? * Yes No If you are requesting new hardware, but there is existing hardware already in the room, should the existing hardware be removed? * Yes No If no, how will the existing hardware be used? Will this equipment be a shared computer? * Yes No Do you just need an account setup on an existing computer only? Yes No Will existing computer equipment move with this employee? Yes No Is there an existing computer in the new location? Yes No Is a computer needed for the new location? Yes No Hardware Options * PC MAC Desktop Laptop Single monitor Dual monitor (Select all that apply) List any Special Hardware Needs At Lane, we offer three levels of service called FastLane Full Service, FastLane Self Service, and Slow Lane for all PC users. You can review the service level agreement here: Information Technology Service Options Please review these options with your new employee and have them sign and sumbit the FastLane agreement as soon as possible. FastLane Service Option Selection Form FASTLANE Service Selection * Full Service Self Service Slow Lane NOTE: ALL PC computers come pre-installed with the current standard versions of Operating System, Microsoft Office, Novell, GroupWise, Internet Explorer, Firefox, Adobe Acrobat Reader, Quicktime, Faronics Anti-Virus, Shockwave and Flash Players. All Macintosh computers come pre-installed with the current standard versions of Operating System, Microsoft Office, Novell, GroupWise,TextWrangler, Google Chrome, Firefox, Flip4Mac, CyberDuck FTP, Flash and Shockwave players, Adobe Acrobat Reader, Adobe Air + MS Silverlight, Symantec AV, and RealPlayer. Dependent on the FastLane Service Option Selected: any additional software can be pre-installed with delivery of the software and license to the helpdesk within one week of the employee's start date. If you are unable to provide the software and license within this timeframe, please contact the helpdesk (helpdesk@lanecc.edu or 541-463-4444) when the software is available to schedule the installation. Please list any additional software needs: Please note regarding any new software requests: All software that is not part of our approved software list, which can be found at Approved Software List, must be tested to ensure compatibility with existing systems before it can be installed. Requests for software that does not appear on the Approved Software List, should be requested by completing the Request for New Software. Will you deliver the software and license to the IT Helpdesk one week before the employee needs to use it? Yes No Printing Options Copy Machine Access * List number, name or location Network Printer Access * List number, name or location Copier and Printer FOAP(s) * Other Technical Services Does this employee need and/or use Document Imaging? * Yes No Will this employee need an email account? * Yes No Does this employee have an email account? * Yes No What is their existing email address? Drive Mappings Needed List number, name or location Drive Mappings to be Removed List number, name or location Group, Council, or Project Team Membership(s)? Yes No List Membership(s) to all groups, councils, and project teams i.e. peer-to-peer, College Council, LCCEF, LCCEA, etc. Banner Does this employee already have Native Banner access? * Yes No What Native Banner access do they currently have? What Native Banner access do they need? Did this employee have Native Banner Access? * Yes No Does this employee need Native Banner access? * Yes No List Native Banner Access Types * Is there any other Employee Access that needs to be removed? * Yes No Please list any additional technical needs Smart/Enhanced Classroom cabinet keys needed? * Yes No Smart/Enhanced Classroom cabinet keys to be turned in? * Yes No List any training needs Form feedback is appreciated. By entering the direct supervisor's name below, you are implying the direct supervisor's signature and agreement to proceed with the actions and information submitted on this form. The direct supervisor will receive a copy of this information, as will the department administrative assistant for their/your reference. Direct Supervisor's Signature * Date of Direct Supervisor's Signature * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20182019202020212022 Leave this field blank
