TECHNICAL SERVICES REQUEST
Date:
Agency Name:
Project Contact:
Address:
City:
Zip:
Phone:
Fax:
Email:
Web Site:
Executive Director:
Service Needs
Scheduled Support
Hourly Consulting and Support
Database or Software Development
Web Services
Training
Other (describe):
How many sites will need assistance?:
Is someone on your staff responsible or partly responsible for supporting technology?
Yes
No
Approximately how frequently does your organization have technical issues ( daily, weekly, monthly)?
Do you currently contract with another technical support provider?
Yes
No
How many PCs do you have at these sites?
Are these computers on a network?
Yes
No
Don't know
Do you have a server?
Yes
No
Don't know
Do you have Internet access?
Yes
No
Don't know
If yes, what is the connection?
DSL
Cable
Other or Don't Know
Do you backup all of your data?
Yes
No
Don't know
Do you have a solution for dealing with viruses?
Yes
No
Don't know
Have you documented your existing hardware and software (ie computer configurations, software versions, etc)?
Yes
No
Don't know
If you are finished completing the application, please click the Submit button below.
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San Diego Futures Foundation
4275 El Cajon Blvd. #200 San Diego, CA 92105
619-269-1684
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