Instructional Software Request

Name: *

Department: *

Phone: *

E-mail: *

Department Chair or Manager E-mail: *

Date of Request: *

Number of Copies: *

Software Product: *

Platform: *

Windows

Mac

Software Name/Version: *

Classroom/Location: *

Full Course Information: *

(prefix/number/title)

Need justification: *

Special setup information, i.e.: licensing server, desktop operating system, and where will it be installed?: *

Course fee amount, if any, for the course that may cover a portion or all of the cost : *

If no course fee, when will a fee be added for the course?: *

Initial cost of software and annual maintenance fees.: *

Faculty can contact the Office Coordinator for IT at 77782 for assistance in determining costs.

Support for faculty and students outside of class, if necessary, i.e., Computer Commons, Instructional Technology: *

Academic division chair approval : *

Yes

SRF’s for specialized instructional software such as AutoCAD, SPSS, Final Cut Pro, etc., must include additional information and meet the criteria listed below.

Course fee or department budget that will cover a minimum of half or all of the cost of the software: *

The academic division chair approving the SRF for specialized software must include the account code to be charged :

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