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Bachelor of Social Work Program (BSW)
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News & Events
About Us
Mission & History
Leadership
Accreditations
Commitment to Excellence
90 Years of Impact
10 Reasons to Choose Kent School
What is Social Work and Therapy?
Admissions
Kent Application Deadlines
Kent Scholarships
Kent Admissions Checklists
Request Information Form
Academics & Programs
Bachelor of Social Work Program (BSW)
Master of Science in Social Work Program (MSSW)
Master of Science in Couple & Family Therapy Program (MSCFT)
Doctor of Philosophy in Social Work Program (PhD)
Doctor of Social Work Program (DSW) – online
Practicum Education
Endowed Chair & Cancer and Health Social Work Training
Kent Continuing Education
Research
Research Presentations & Projects
Student Experience
Kent Student Association
Social Work Living Learning Community
Job Board–Employment Opportunities
Technology for Kent Students
Alumni & Friends
Job Board–Employment Opportunities
Give to Make An Impact
Stay Connected
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Kent Vendor Assessment Form
Kent Vendor Assessment Form
Kent Vendor Assessment Form for Internal Use
YOUR INFORMATION
First Name
Last Name
Email
Phone
Department Name
VENDOR INFORMATION
Vendor Name
Vendor Web Address (URL)
Vendor's Email (if known)
What is the primary service that this vendor will be providing to you?
Will the vendor be responsible for services, software or hardware that process, store or transmit University data (i.e. configuring or installing routers, VPN devices, creating reports, webpages, etc.) by?
(optional)
Providing software or hardware
configuring software or hardware
installing software or hardware
developing software
not applicable
Other…
Enter other…
What data elements (fields) will be shared, collected, processed or managed by the vendor or in performing the services noted above? Examples include name, social security number and date of birth.
Do the data elements fall under the definition of "sensitive data" and protection by University policy and or regulatory requirements (HIPAA, FERPA, HB5, PCI, Export Control, Research, etc)?
- None -
Yes
No
N/A
Click here to see definition of Sensitive Data:
Sensitive Data (PDF)
Have compliance officials been included in the process (check all that apply)
(optional)
Export Controls - Will Metcalf
FERPA - Sherri Pawson
HIPAA - Stacie McCutcheon
House Bill 5 - Kim Adams/Dave King
ITS Enterprise Security for Firewalls, network connectivity, custom Firewall,VLAN segregation, etc.
Information Security Office - Kim Adams
PCI - Merchant Services - Jill Riede
All of the above
Not at this point
Other…
Enter other…
What type of authentication method do you intend to use? Example: ULink userid and password
ACKNOWLEDGMENT
This form has been filled out to the best of my ability and in accordance with University Policies and regulatory compliance requirements.
(optional)
Yes
No
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