COVID-19 Digital Support Intake Form

Please give us a short title for what you want help with
Are you
Smith affiliation
Are you
Where is your primary program?
Where is your primary program?
Where is your primary appointment?
Where is your primary appointment?
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 would like to enter the iPad...
I would like to enter the iPad...
What computer equipment are you requesting?
What computer equipment are you requesting?
What type of internet connectivity do you have available to you?
What type of internet connectivity do you have available to you?
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?
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)
Staff Equipment Request
Staff Equipment Request
What computer equipment are you requesting?
What computer equipment are you requesting?
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?
Tools or consultation
Tools or consultation
Student Equipment Request F20
Student Equipment Request F20
What type of computer equipment are you looking for?
What type of computer equipment are you looking for?
What type of internet connectivity do you currently have available to you?
What type of internet connectivity do you currently have available to you?
What best describes your situation?
What best describes your situation?
What best describes your situation?
What best describes your situation?
What best describes your situation?
What best describes your situation?
Select the expected Number of Attendees
Select the expected Number of Attendees
Select the expected Number of Attendees
Select the expected Number of Attendees
Select the expected Number of Attendees
Select the expected Number of Attendees
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)
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)
Will you be on or off campus for your remote learning?
Will you be on or off campus for your remote learning?
Pedagogical Consultation/Tools/Apps/Course Support/Other
Pedagogical Consultation/Tools/Apps/Course Support/Other
Supported tools
Supported tools
iPad App Request
iPad App Request
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)
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)
What is the purpose of your WordPress site?
What is the purpose of your WordPress site?
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
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
Staff Software & Remote Tools
Staff Software & Remote Tools
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
Longer descriptions take longer to process and may slow our response down
File attachments associated with the ticket.
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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
Verification Code