PVCC: Technology Request Form

TRF #

Computer Commons Technology Request Form
(TRF)

Phone: 787-6760

Please complete and submit. Some documentation will have to be brought to the computer commons.

If this request is for a new program or course not previously offered in the Commons, please complete a New Program Form instead of a Technology Request Form.

Requested By:

Phone:

Email:

Date:

Date Needed:

Operating System

PC:

Macintosh: Other

Course/ Section:

Special Event:

Event Date:

Event Time:

Evaluate:

New CD/DVD (i.e., included with textbook) Include CD for Evaluation

New Software Evaluation SoftwareName/Version:

Specialty Software (i.e., Training, ADA, Continuing Ed, Events)

Include Software

Software Name/Version:

Software License Included Number of Copies Owned:

Network Access:

User Account

Course Data to Server (Submit Data)

SAM Instructor Account

Switch Closet Tour Date: Time:

Problem:

Software Problem

Hardware Problem

(Please provide a detailed, specific description of problem, including the software name, and submit a screen shot if possible.)

Room: Computer Station Number: (i.e. e132-4)

Additional Comments :

Computer Commons Technology Request Form (TRF)

Computer Commons Technology Request Form
(TRF)