VB Script and PHP and T-SQL and C# along with the rest?

I'd expect a college student not to be actively taught any of these (T-SQL maybe if they took a database class), and they're not exactly the new hotness for languages to learn.

I'm saying this as a dev that works for a company that uses a Microsoft stack right now too (I almost never see anyone talk about C# on this site or in the Who's Hiring threads.).

This seems like a laundry list of that employer's specific tech stack hoping they can get some sucker that has their exact stack because they happened to experiment with all of those languages in their free time, which is unlikely. Anyone who does have this stack can probably get a much better salary almost anywhere else.

It does say "desired" at least, and not "required", so they might not expect applicants to match this completely, but I bet some of the interviewers haven't gotten that memo (which seems to be what you're saying in the last paragraph also).

Also you mention you haven't heard of AHK, and it can be pretty useful. It's basically a macro program for doing things in Windows and assigning a hotkey combination to it. I've scripted some things in it before, although I'm not currently using it. It's not that hard to learn, and I can't imagine that any programmer couldn't pick up the basics after a few hours on the job, so I don't know why anyone would include that in a list of technology, thereby adding one extra thing for an applicant to think they need to have experience in to apply and not apply to their company.