This agreement must be renewed annually and at the end of the period of employment, whichever comes first. By submitting this form, the employee acknowledges having read and understood the CCP`s technology and acceptable use policies and agrees to the following provisions to protect controlled sensitive data (PII, PHI, HIPAA, FERPA, GLBA, etc.). This form is intended for PCC employees to request permission to remotely access the PCC systems listed below. There is a separate supplier access process for suppliers and contractors. If you have requested an official copy of the contract form for your records, we will send it to you as soon as the processing is complete. We will process your consent form and contact you with the next steps to follow. By submitting this form, the employee agrees to keep personal information confidential and to comply with the following provisions: (The language of this agreement has been approved by the Pennsylvania Attorney General`s Office and cannot be changed.) Please list the services and systems you need remote access to and how you will use them for your work. Be as detailed as possible and fill out the form to the best of your knowledge and beliefs. If you have any questions about these documents, please contact Government Grants and Special Programs at 1-800-443-0646, Option 3, Option 1.

For more assistance, see our instructions for completing the PHEAA Remote Access Agreement. A Portland Community College manager must authorize each application:. .