ADVS IT Packet: User Policies, Access, Consent Forms
ADVS employees and contractors, including guest staff from other state agencies, must review and signify their agreement to the terms and conditions of this ADVS Information Technology Packet before being granted access to agency systems and resources.
Today's Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Employee/Contractor Name (must match New User Request and HRIS names)
*
First Name
Last Name
Employee/Contractor ID Number
*
Employee/Contractor Phone Number
*
Format: (000) 000-0000.
Supervisor or Authorized Agency Requester Name (must be a manager)
*
First Name
Last Name
Employee/Contractor has viewed the ADVS IT Security Orientation Video
*
YES
NO
Pending
Find the
ADVS IT Security Orientation Video
online
HERE
.
Employee/Contractor has completed or will complete in first month of employment, and annually thereafter, the Tracorp CBT "CIS001: Cyber Security Awareness"
*
YES
NO
Pending
If Teleworking, Employee/Contractor accepts responsibility to provide a quality, performant internet/WiFi (min. 25mb down, 5mb up) at their Telework location, per ADVS IMP 00-02.
*
YES
NO
N/A Not a Teleworker
(Optional) Personal Contact Email
example@example.com
Employee/Contractor Miscellaneous Comments
Click-wrap/Click-through IT User Agreement
SPECIAL NOTE: If the Click-wrap/Click-through IT User Agreement doesn't display in the box above, please click
HERE
for another way to view it.
Employee/Contractor Agreement
*
Employee/Contractor Signature
*
Submit Form for Processing
Print Form
Should be Empty: