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Digital Support Intake Form
Digital Support Intake Form
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What do you want help with?
Please give us a short title for what you want help with
Are you
Smith affiliation
Are you
Smith Faculty/Instructor
Smith Staff
Smith Student
Where is your primary program?
Where is your primary program?
SSW
Undergraduate / Graduate
Where is your primary appointment?
Where is your primary appointment?
SSW
Undergraduate / Graduate
Graduate or Undergraduate?
Undergraduate
Graduate
I need help with ...
Equipment
Events
Tools or a consultation (Zoom, Moodle, Office Consult)
Other
I need help with ...
A mic for voice amplification in classrooms
Adobe for my students
Classrooms
Equipment for my course/students
Equipment for my individual use
Events
Tools, my course, or a consultation (Zoom, Moodle, etc)
Other
List of classrooms
Enter all of the classrooms in which you will be teaching
All staff equipment requests require VP approval
Cabinet level approval is required for equipment requests. Your area VP will be contacted once this request is submitted.
Faculty/Instructor Equipment Request
Faculty/Instructor Equipment Request
I need computer equipment to support my remote work
Request to take home office equipment
Smith iPad Loan Program
I need to RETURN borrowed equipment
What computer equipment are you requesting?
What computer equipment are you requesting?
Computer
Internet connectivity
Monitor
Webcam
Other
What type of specialized equipment do you want to reserve for your students?
What type of specialized equipment do you want to reserve for your students?
Audio/Video Equipment (prioritized for film/video courses)
Cameras
Hard Drives
Tablets (iPads/Wacom)
Other
How many devices do you need to reserve for your course?
What type of event support is needed for this request? (check all that apply)
What type of event support is needed for this request? (check all that apply)
I need help running the event
I need other support before the event
I need Zoom training in order to prepare for the event
Staff Equipment Request
Staff Equipment Request
I need computer equipment to support my remote work
I need to RETURN borrowed equipment
I would like to take home office equipment
Other
What computer equipment are you requesting?
What computer equipment are you requesting?
Computer
Internet connectivity
Monitor
Webcam
Other
What type of internet connectivity do you have available to you for fall 2020?
What type of internet connectivity do you have available to you for fall 2020?
Cable Modem
DSL
Hotspot via cell phone
None
Other
I need help with ...
Equipment
Events
Tools or software (Zoom, Moodle, etc)
Other
Tools/software or consultation
Tools/software or consultation
Consultation
Software / Remote Tools
What type of equipment is needed? (Select one)
What type of equipment is needed? (Select one)
I need equipment for a specific course-related project or assignment
I need computer equipment to support my on-campus studies
I need to RETURN borrowed equipment
Other
What type of equipment are you looking for?
What type of equipment are you looking for?
Computer - Dell laptop preferred
Computer - Macbook preferred
iPad
Wacom tablet
Computer peripherals (e.g. hard drives, adapters, etc)
I need specific audio and/or video equipment
Webcam
Other
What type of internet connectivity do you currently have available to you?
What type of internet connectivity do you currently have available to you?
Cable Modem
DSL
Hotspot via cell phone
None
Other
What best describes your situation?
What best describes your situation?
I already have internet access but it’s just not strong enough
Service is available for installation but I can’t afford it right now
Service is available in my area but I don’t have equipment for connection
Service is not available in my area
What best describes your situation?
What best describes your situation?
I already have internet access but it’s just not strong enough
Service is available for installation but I can’t afford it right now
Service is available in my area but I don’t have equipment for connection
Service is not available in my area
Select the expected Number of Attendees
Select the expected Number of Attendees
Fewer than 250
250 - 450
450 - 1000
More than 1000
Select the expected Number of Attendees
Select the expected Number of Attendees
Fewer than 250
250 - 450
450 - 1000
More than 1000
Select the expected Number of Attendees
Select the expected Number of Attendees
Fewer than 250
250 - 450
450 - 1000
More than 1000
What type of event support is needed for this request? (check all that apply)
What type of event support is needed for this request? (check all that apply)
I need help running the event
I need other support before the event
I need Zoom training in order to prepare for the event
What type of event support is needed for this request? (check all that apply)
What type of event support is needed for this request? (check all that apply)
I need help running the event
I need other support before the event
I need Zoom training in order to prepare for the event
If applicable, will you be on or off campus for your remote learning?
If applicable, will you be on or off campus for your remote learning?
Off Campus
On Campus
Pedagogical Consultation/Tools/Apps/Course Support/Other
Pedagogical Consultation/Tools/Apps/Course Support/Other
I have a general question on one of the following tools
I need help getting my course access to Smith provided software remotely using Splashtop
I need to request a Slack Workspace
I would like a pedagogical consultation to help me plan/review my course
I would like to request a Smith College Wordpress site
Supported tools
Supported tools
Moodle
Panopto
Perusall
Slack
Smith Software including iPad Apps
Zoom
Other
iPad App Request
iPad App Request
Explain Everything
Other
Course name and section name (i.e., AFR 111 02)
What are the topics you’d like to discuss during your consultation? (check all that apply)
Check all that apply
What are the topics you’d like to discuss during your consultation? (check all that apply)
Create media objects and workflows (make/share recordings, teach with iPads and digital whiteboards)
Curate and integrate academic tools
Plan office hours or connect with students 1-on-1
Review course design and course “home base” (general/specific)
Review learning activities (assignment, homework and assessment)
Student engagement (classroom community, group discussion, student participation)
Student media projects (ie. blogs, podcasts, websites, etc)
Other
What, if any, academic technologies would you like to discuss? (check all that apply)
What, if any, academic technologies would you like to discuss? (check all that apply)
CATME (team and group assignment tool)
Google Drive (For sharing resources, assignments and collaboration)
iPad
Media streaming (video, music)
Moodle (Online Discussion/Forums)
Moodle (Quizzes/Exams)
Moodle (Sharing resources, Assignments)
NameCoach (Learning name pronunciations)
Panopto (lecture capture, video stream platform)
Perusall (social annotation tool and e-reader)
Poll Everywhere (Online polling)
Slack (a communication and collaboration hub)
VoiceThread (interactive collaboration and sharing tool)
VPN or Remote Desktop Access
WordPress (blog and website platform)
Zoom (live sessions and office hours)
Other
AVAILABILITY: Please list three (3) dates and times when you would be available for a consultation
What is the purpose of your WordPress site?
What is the purpose of your WordPress site?
Course blog or website
Personal portfolio or professional website
Research project and/or public scholarship
What would you like to be the URL of your site (i.e., sophia.smith.edu/ _____ )?
Describe the problem you need to solve
Describe the work process affected by the move to remote work mode
Describe how this work process would have functioned before we entered remote work mode
Describe how this work process would have functioned before we entered remote work mode
List any department/campus community who is impacted by the work process
list any department or campus community who is impacted by the work process or will be impacted by changes to it
List any deadlines or time-based criteria that affect this work process
list any deadlines or time-based criteria that affect this work process
Staff Software & Remote Tools
Staff Software & Remote Tools
I need help to Smith provided software remotely using Splashtop
Zoom
VPN
Other
I have a question or need access for one of the following tools
I have a question or need access for one of the following tools
I need access to Adobe CC for my personal computer (Request requires prior ITS approval)
I need help getting access to Smith provided software remotely using Splashtop
Moodle
Slack
Zoom
Other
Shipping address, street and home number (no PO Box#s allowed), City, State, Zip Code
Course Number
Active semester
Active semester
Fall
Interterm
Spring
Moodle Course Name
Moodle Course Number
Please confirm you are the primary instructor for at least one course in the Fall 2021 semester
Please confirm you are the primary instructor for at least one course in the Fall 2021 semester
Yes
No
I have received and agree to the equipment loan agreement
I have received and agree to the equipment loan agreement
No
Yes
ClassroomSupport-2022-07
ClassroomSupport-2022-07
Report a classroom issue
Request a consultation for a departmental/non-registrar space
Request a consultation for assigned registrar classroom
Classroom location and room number
Course name and number
Please explain the specific course goals/activities this will support
Please provide any additional information below
Longer descriptions take longer to process and may slow our response down
Attachment
File attachments associated with the ticket.
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Please enter a phone number where you can be reached
In the Email Field below, be sure to enter your Smith email address and NOT a personal email address
In the Email Field below, be sure to enter your Smith email address and NOT a personal email address
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code