Wake Forest University Residence Life & Housing

Pursuant to Wake Forest University policy, all security device technology on Wake Forest University property or on properties rented, leased, or otherwise occupied by Wake Forest University, must be approved by the Deacon OneCard Manager prior to any installation, modification, or change. Completion of this form is only an application and does not constitute approval for any installation, modification, or change for any security device. You will be notified in writing by the Deacon OneCard Manager at such time that any installation, modification or change is either approved or denied. The Deacon OneCard Manager does not accept any responsibility for security device which is installed, modified, changed, or used in any manner outside the approval or in violation of University policy or State law. University Police will be made aware of the request(s) stated below, and will assist in the monitoring of the device(s) upon its installation.

Security Device Request Form

Requesting Department*
Division*
Requestor*
Email*
Phone*
Security Device Requested*
Purpose*
- Crime deterrence (Theft, vandalism, trespassing, etc.)
- Monitor restricted areas for unauthorized persons (Residence Halls, Labs, Academic Buildings, etc.)
- Restrict access to areas from unauthorized persons (Residence Halls, Labs, Academic Buildings, etc.)
Other Purpose, please explain:
Duration of Device Use:*
- Indefinite
- Temporary
Number of devices to be installed/modified/changed:*
*Please email a detailed description of the exact location(s) of the requested security device(s) to be installed, modified or changed; justification of the proposed installation(s); intent of usage and if appropriate, recommendation for an administrator to deacononecard@wfu.edu.
Dates of Device Use, if temporary:
From: To:
Digital Signature*
- By checking this box I certify that I am authorized to approve this Security Device Request.
Digital Signature of Deacon OneCard Manager
- Approved
Date
Proposed security device(s) needing infrastructure support have been reviewed by the Information Security Department, IS: Infrastructure, Information Security Architect.
Digital Signature of Information Security Architect
- Reviewed
- Not Applicable
Date

* Denotes required field.

Office Location

Residence Life & Housing: P.O. Box 7749
Winston Salem, NC 27109; Office: (336) 758-5185
or (336) 758-7777
Fax: (336) 758-4686

Residence Life & Housing