Instructional Software Approval Form
This form will be submitted to the Seaman USD 345 teaching and learning team. Received forms will be added to the agenda for approval at the next teaching and learning meeting following the submission. Notice of approval should be received within a month of submission.
Please submit any questions regarding the form and approval process to Megan Nussbaum,
mnussbaum@usd345.com
.
* Required
Staff member(s) submitting request:
*
Your answer
Building:
*
Choose
Elmont
Logan
Mathes Early Learning Center
North Fairview
Northern Hills
Pleasant Hill Learning Campus
SMS
SHS
West Indianola
Grade Level(s):
*
Your answer
Title of Software/Application:
*
Your answer
Company/Vendor Name:
Your answer
Company/Vendor Website:
Your answer
Materials Requested (check all that apply):
Media Download
Software Download
Online Subscription
Other:
Licenses
IMPORTANT: Please indicate your licensing needs
Number of Licenses/Items Requested
*
Your answer
Type of License
*
Site license
District license
Other:
Required
Where will the licenses be installed?
*
Building cart(s)- specify the number(s) in the next question
Elementary classroom computers- specify the numbers in the next question
7-12 Student MacBook Airs- identify the course the software will be used for
Teacher MacBook Airs- identify the teachers in the next question
Other:
Required
Provide further details about where to install the software (see previous question).
Your answer
Will this be an annual subscription or one-time purchase?
*
Annual subscription
One-time purchase
Other:
What will be the funding source for your purchase?
*
PTO funds
Building funds
District funds
Special Education funds
SEAF grant
Other:
What is the estimated cost for your purchase?
*
Your answer
Please describe the educational application and/or standards that will be met with this purchase.
*
Your answer
I would like to purchase this software for my school/classroom. I understand that the software must be approved for curriculum application and compatibility with the district teaching and learning team. I will not expect to purchase the software or have it installed on the network if it is not approved.
I have read and agree to the statement above.
*
Yes
No
I have communicated with my principal/supervisor about this request and have their permission to submit for approval.
*
Yes
No
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