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IT Request Form
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Your name
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Your e-mail
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Your extension
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5
Your supervisor
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6
Which Y is your Y?
Camp Wakonda
Cassville YMCA
Dallas County Area YMCA
Lebanon Family YMCA
Monett Area YMCA
Ozark Mountain Family YMCA
Pat Jones YMCA
Roy Blunt YMCA of Bolivar
School Age Services
Ward Downtown YMCA
Association Office
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7
What do you need?
*
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Requests for hardware and software may take up to two weeks to fulfill.
CCC access
Email access
Hardware
PC login
Phone update
Software
Other
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8
CCC access details
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9
User's name
*
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Name of employee to be granted access
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10
Phone update details
*
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11
GL number
*
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12
Budget for this project
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13
Hardware need(s)
*
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Desktop computer
Laptop computer
Mouse
Keyboard
Monitor
Other
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14
Software need(s)
*
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Office
CCC
Adobe
Other
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15
Why do you need this?
*
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16
Needed by (Must be two weeks from today)
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Requests for hardware and software may take up to two weeks to fulfill.
-
Date
Month
Day
Year
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17
Approved
Yes
No
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18
Order date
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Date
Month
Day
Year
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19
Name of equipment
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20
Serial number
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