Technology Equipment/Project Request Form
Technology initiatives often involve the resources of several different components of our technology systems. New devices need network connectivity which has been sized for available access. New software requires minimum specifications of the devices it will be operating. In addition to the funding sources, consideration must be given to the overall impact on the infrastructure, technical support and curriculum.

The following outline is used to determine if all the pieces are in place and considered for a successful implementation of the project. Please provide the following information to help the Technology Department and the Teaching and Learning Department plan for additions to our current offerings.

Name of the Equipment or Project
Your answer
Building where the equipment or project will be located
Contact person to lead the discussion of the project
Your answer
Equipment or Project Description
Please describe the project...New initiative? Replacement? How are the products used? Include engraving info if applicable.
Your answer
Total Cost of the Equipment or Project - Itemized
Feel free to create a google spreadsheet and insert the shared URL
Your answer
What budget code should this be charged to?
If more than one please provide the details and amounts.
Your answer
Timeline
Purchase by?
MM
/
DD
/
YYYY
Timeline
Receive product by?
MM
/
DD
/
YYYY
Timeline
Project goes live by?
MM
/
DD
/
YYYY
Timeline
Project end date if any
MM
/
DD
/
YYYY
Are paid subscriptions required?
Is tech support required?
Are there ongoing costs such as applications or additional feature or modules?
Please explain.
Your answer
Please indicate how this equipment/project will be supported by the Tech Department.
Your answer
Please indicate how this project will be supported by the Teaching and Learning Department.
Your answer
Please describe anticipated outcomes of this equipment/project.
Your answer
Is the building principal aware of this project?
Is the Director of T & L aware of this project?
Is the Technology Coordinator aware of this project?
Name of Person Completing this Request
Your answer
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