Budget Request Form for Electronic Technology Equipment
| School/College/Department requesting equipment | ||
| Contact person for clarification of this request | ||
| E-mail address of contact person | ||
| Computer equipment/software description | ||
| Building & room number where equipment will be housed (if applicable) | ||
| Estimated cost of equipment | $ | |
| Estimated cost of installation and security | $ | |
| Please describe any extended warranty included | ||
| What budget will cover continuing operating
costs?
(check whichever box applies) |
Unit Budget | |
| ITS Budget | ||
| Other (please explain below) | ||
| If needed, explain "Other" here:
|
||
| Indicate who you expect to install, maintain, and repair the equipment/software requested. | Install | Maintain | Repair |
| ITS staff | |||
| Off-campus technician | |||
| Unit personnel | |||
| Other (please explain)
|
| Which ETC funding priorities
apply to this request?
(Check all boxes that apply) |
Mandatory for continuing a unit's operation | |
| Would provide improved network printing services | ||
| Could significantly improve student success | ||
| Would increase or improve campus Internet access | ||
| Would provide more efficient access to information | ||
| Could improve unit efficiency | ||
| Will test new service delivery or teaching techniques |
| Did your school/college/department
request this same equipment last year?
(Check whichever box applies) |
No | |
| Yes, but the request was not funded last year | ||
| Yes, but the request was only partially funded last year | ||
| Yes, but we need more of the equipment this year | ||
| If needed, explain above "Yes" here:
|
||
| Please characterize this
request according to these categories. (Check one box.)
(If needed, explain "Other" here)
|
Matching funds for a technology grant received | |
| Matching funds for a technology grant (decision pending) | ||
| Replacement/ugrade to student computing lab | ||
| Computer assisted instruction software | ||
| Computing devices for faculty | ||
| Computing devices for staff | ||
| Network infrastructure enhancements | ||
| Mediated classroom enhancements | ||
| Distance education related hardware | ||
| Distance education related software | ||
| Administrative computing hardware | ||
| Administrative computing software | ||
| Other (please explain to left) | ||
| What priority is this request for your school/college/department? | ||
| Statement of need:
|
| Approval Signatures | Date | Priority | |
| Department | |||
| Dean | |||
| Exec Dir./VP/Pres. |