Information Technology Policy Manual 2022

A TTACHMENT 2 : C ONSULTANT /C ONTRACTOR A CKNOWLEDGMENT F ORM

NOTE: A third-party could consist of, but is not limited to software vendors, volunteers, suppliers, temporary staff, contractors, consultants, business partners, security companies, unpaid intern, trainers and the like. Each third-party requesting network access must complete and submit this page. Each third-party must possess his or her own network access; shared network access is strictly prohibited.

As the third-party requesting network access, I have read and I understand and agree to the terms set forth in this policy, and so indicate by signing my name and entering the date below:

City of Greensboro Requesting Department: Vendor/Third-Party Company Name: Vendor/Third-Party Name: Vendor/Third-Party Email Address: Network Access Location Point: (City, State, Country) How long is the network access needed?

Signature________________________________ Date: __________________________________

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GSO-TPAP-002