GGC Data Risk and IT Assessment Short Form

GGC Department Name

GGC Department Contact Name

GGC Department Contact Email Address

GGC Department Contact Phone Number

Will the goods or services procured under this contract give the Vendor access to or provide the Vendor with GGC data, including student records?*

Is this a software license or software contract?*

Are data systems, data products, or data services being provided by this contract?*

Will the goods/services use GGC IT networks?*

Vendor Name

Vendor Contact Name

Vendor Contact Title

Vendor Contact Email Address

Vendor Contact Phone Number

Product Name

Product Description

Provide a general summary of your department and the business area that will be housing GGC data, utilizing the third-party software/service, and/or requesting integration with an GGC enterprise system(s).

Define and describe the primary need(s) for housing GGC data, utilizing the third-party software/service, and/or requesting integration with GGC enterprise system. (e.g. business related, technical, research, etc.)

Which GGC Data Steward is responsible for this data?*

Which regulations govern the use of this data?*

To what populations does the data pertain? (Example: Student, Faculty, Staff, Research Subjects, Patients, Affiliates, Public, etc.)*

What population will be consuming this data? (Examples: Student, Faculty, Staff, Research, Vendors, Affiliates, Public)*

Please upload any files related to this assessment here.

Drop your files here to upload

Use this space for general comments and information.

Have you consulted with GGC procurement professionals regarding this request for assessment?*

Whom did you consult with in the GGC Procurement department?

Is there an existing contract?*

What is the Cobblestone Contract ID?

What is the Cobblestone Contract Name?

Who is the contract manager? (e.g. name, email)

Have you consulted with GGC IT department regarding this request for assessment?*

Whom did you consult with in the GGC IT department?