VPN Access Request Form
Motlow State Community College /Technical Operations 2015
Requestor Information
Name: __________________________________________ ID: _________________
Department/Company: __________________________________________
E-mail: ______________________________________ Phone Number: _________________________________
Duration of Access: ________________________ Date of request: _______________________________
Motlow contact person if not MSCC employee: ________________________________________________________
Purpose of Access (Please be as detailed as possible): ____________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
General Rules
The use of remote access services (e.g. LogMeIn, GoToMyPC, peer-to-peer networking, etc.) is prohibited.
It is critical that your computer has the most recent security patches for your operating systems
(visit http://update.microsoft.com
for windows OS or http://www.apple.com/support/downloads/ for MAC OS)
Anti-virus software installed and the latest definition file and updates. (i.e. Mcafee virus scan, Norton anti-virus etc..)
Your computer has been checked for spyware (i.e. Mcafee anti-spyware, spybot search and destroy, adaware etc..)
If you need help insuring that your computer meets these requirements Please contact The MSCC Helpdesk at 931-393-1510.
Remember, each member of the Motlow State Community College VPN plays an important role in maintaining the security and
confidentiality of Motlow State Community College records.
I certify that the computer I use to connect via VPN has the most recent operating system updates, has been checked for spyware,
and has a regularly updated anti-virus package installed and I will continue to keep these things maintained. I understand that the
same Appropriate Use of Computing Facilities policies (http://www.mscc.edu/humanresources/general_governance_policies.aspx
1:08:00:00) apply to
this service.
Signature: ______________________________________________ Date: ___________________
Signature: ______________________________________________ Date: ___________________
Technical Operations Staff
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