Technology Request Form

Your Name:

Your Email Address:

What type of technology are you requesting:
Software Hardware

Provide the name of the software or hardware:

Provide a description of the use. If hardware, describe and software requirements:

Do you have funding? If so please describe:
Yes No

How do you plan on replacing this technology?

Can repurposed equipment be utilized instead?
Yes No

Our current standards for technology can be found on the Standards Webpage
Do you need technology beyond these standards? If yes please explain why.
Yes No