LGSUHSD Technology Request Form
Use this form to request the purchase of new & replacement technology for your classroom, department, or school site:
Your Name *
Your answer
School Site *
Department: *
Your answer
Type of Request: *
Required
Type of Technology *
Provide a brief description of the technology you are requesting (include specific model/version info if applicable):
Your answer
Requested purchase by date: *
Your answer
Requested installation by date: *
Your answer
For NEW (not replacement) equipment/software purchases please answer the following questions to outline the purpose and scope of your request:
List the instructional goals and objectives you wish to accomplish with the purchase of this technology.
Your answer
Indicate how the purchase of this technology will enhance the learning environment.
Your answer
How will you evaluate the effectiveness of the implementation of this technology?
Your answer
What is the expected life cycle of this purchase?
Your answer
Approximate number of students and/or staff to be served by this purchase.
Your answer
Will this purchase benefit other classrooms within your department? If so, how?
Your answer
Please provide any estimated costs or quotes you may have for this purchase (this response is optional).
Your answer
Does the technology being purchased require any additional purchases, software, or licensing fees? If yes, please explain.
Your answer
Submit
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