IT Partners


IT Partners Program
Application Form

To become a member of the IT Partners program, please fill in the form below. Membership in the program gives you access to a variety of benefits and also expresses your interest in participating with your fellow support providers to realize the goals of the IT Partners program.

The information collected here will be used only by the IT Partners or the program administrators, and will not be made publicly available without your permission. (Some of the questions below ask for your permission to publicize certain information; you can accept or decline these requests.)

If you have any questions, concerns or suggestions about this application form (or the IT Partners program in general), please feel free to contact the IS administrator for the program:

Helen Rose
IT Partners Program
E19-341
(617) 258-0325
itpartners-administrator@mit.edu

Thank you for your interest in the program.

1. CONTACT INFORMATION
First Name
Middle Name or Initial
Last Name
Name that you go by
(if different from First)
Address
(MIT building/room, or complete home address)
Phone number
Email Address
(for IT Partners events and correspondence)
2. MIT AFFILIATION
Your Primary MIT Affiliation Administrative Staff Research Staff Support Staff
Faculty Graduate Student Undergraduate Student
Other (describe):
Department
Title/Position
3. CURRENT IT SUPPORT ACTIVITY
Please check all of the computing support roles which you currently fill Computer manager
Hardware setup/troubleshoot/repair
Local network/connectivity
System software support (Dos, Win, MacOS, etc)
General application software support (Word, Ex cel, etc)
MIT business application support (SAP, $SumMI T, etc)
Other (describe):
Please check the average hours spent in these roles in a typical week 40+ hrs/wk 30-40 hrs/wk 20-30 hrs/wk 10-20 hrs/wk 5-10 hrs/wk 1-5 hrs/wk 0 hr/wk
Are these roles a formal part of your job? Yes (all)
Yes (some)
No (none)
Please estimate how many people you provide computer support for in each of the following groups (Approximate numbers okay...)
Faculty: Staff: Students: Other:
If other, describe:
How many others in your group assist with this support?
Of the time you spend providing support, please estimate how many units you support and how many hours (or percent of time) per week you spend on each unit Type of Unit # of Units
Supported 		Hours or Percent
Mac hrs. -or- %
DOS/Win hrs. -or- %
Win95 hrs. -or- %
WinNT hrs. -or- %
Athena UNIX hrs. -or- %
Other UNIX hrs. -or- %

Dial-In/
Modems 		hrs. -or- %
Video
Conf. Cam. 		hrs. -or- %
Other (*) hrs. -or- %
(*) If other, describe:
What type of training do you provide?
4. BECOMING AN "IT PARTNER"
IT Partner Enrollment Status New Member / First-Time Enrollment
Returning Member / Re-Enrollment
Would you be willing to have your contact information listed on a publicly-available list of "local support providers"?
Yes (list areas you support, if not entire department):
No
Have someone contact me to discuss it
Do you consider yourself especially knowledgable about some IT topics? Yes (list topics):

No
Would you be willing to be included in a publicly-available list of "IT experts", and to answer questions about specific topics you designate? Yes (list topics):

No
Have someone contact me to discuss it
Would you be interested in training other IT Partners? Yes
No
Have someone contact me to discuss it
5. YOUR INPUT
Which IT Partners benefits or events would you enjoy the most?
Which IT Partners benefits or events would be most helpful to you or your department?
Please list any events that you'd like to see or attend in the future
Please list any suggestions to help us build and improve the program
MIT Information Systems Send comments or questions to itpartners-administrator@mit.edu
Last modified: Thu Jul 10 17:22:22 2003