PVCC: Technology Request Form

Computer Commons New Program Form

Phone: 787-6760

Please complete this form if you are planning to offer a class for the first time in the Computer Commons. Since the Computer Commons is a shared lab facility, the information is reviewed by those responsible for lab planning and management to assess impact, timelines and cost. The intent is to ensure that appropriate resources and people support can be provided to help you achieve your learning outcomes

Department/Division:

Requested By:

Email:

Division Chair Approval:

Date:

Course Number/Name:

Semester/Year to begin:

Day, Evening or Saturday:

Desired platform (please indicate if class can be offered on more than one platform):

Software needed to offer this course (please list all that are required to deliver the class):

Type of storage media students will be using to save, i.e., 3.5” floppy, zip, CD, JAZ, removable hard drive, server space:

Peripherals/output needed to offer this course, i.e., color printer, scanner, CDRW, zip drives:

Do you anticipate needing open lab computers for students working outside of class?
Yes No

Additional information/comments to assist us with planning: