Fillable SPRING2019IE Request Form Fillable (Las Positas College)

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SPRING2019IE Request Form Fillable (Las Positas College)

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INSTRUCTIONAL EQUIPMENT (IE) REQUEST
SPRING 2018-2019
THE FOLLOWING INFORMATION WILL CONTRIBUTE TOWARD A QUALITY IE REQUEST
CHECKLIST DEADLINES
___ All Sections of Form Completed 02/28/19
___ Requisition Attached
04/04/19
___
Dean and VP Signatures Obtained
Request to Administrative Office
RAC Ranks IE Requests
IE Definition
Allowable Items: Instructional equipment expenditures are eligible if the equipment, library material, or technology is for
classroom instruction, student instruction or demonstration, or in the preparation of learning materials in an instructional program.
There are five categories that will be used to classify instructional support. The following are examples but the list is not limited to
what is shown.
1. Equipment and Furniture: instructional equipment and furniture for primary use by students in instructional programs:
a. Classroom/Laboratory equipment, including whiteboard, screen, projector, etc.
b. Instructional furniture, including desks, tables, podium, chairs, etc.
2. Information Technology: instructional information technology equipment for student use in classrooms and/or laboratories,
including desktops, laptops, monitors, printers, servers, network/wireless infrastructure, AV/TV, multimedia.
3. Software: software licenses are allowed but only the initial year is permitted. Other software that are permitted are those that
are used in excess of one year and software modifications that add capacity or efficiency to the software that defers
obsolescence and results in an extension of the useful life of the software, including registration, counseling, student services,
learning management systems for student use.
4. Adaptive Equipment: adaptive equipment for ADA/OCR students are allowed to assist them in a learning environment.
5. Library Material: databases, on-line subscriptions, books, periodicals, videos, etc.
Non-Allowable Items: Administrative or Non-Instructional Purposes including equipment being used for administrative or non-
instructional purposes is not allowed including photocopiers, file cabinets, bookcases, computers, networking infrastructure,
software licenses.
Criteria
Strong Evidence
Adequate Evidence
Limited Evidence
LPC Mission & Planning
Priorities
(5 points) [Section 3]
Ranking Scale
Clear and compelling evidence/data
that equipment will fully support
LPC Mission and Planning Priorities.
4-5
Clear evidence/data that equipment
will fully support LPC Mission and
Planning Priorities.
2-3
Limited or no evidence/data that
equipment will support LPC
Mission and Planning Priorities.
0-1
Educational Items:
Programmatic Impact
and Institutional Support
(10 points) [Section 4]
Ranking Scale
Clear and compelling evidence/data
(as stated in program review) that
this equipment will have substantial
impact on program curriculum.
8-10
Clear evidence/data (as stated in
program review) that this equipment
will have substantial impact on
program curriculum.
4-7
Limited or no evidence/data (as
stated in program review) that this
equipment will have an impact on
program curriculum.
0-3
Teaching & Learning
(10 points) [Section 5]
Ranking Scale
Clear and compelling evidence/data
that equipment provides much
needed or beneficial enhancement to
instruction.
8-10
Clear evidence/data that equipment
provides enhanced instruction that is
not met through current means.
4-7
Limited or no evidence/data that
equipment provides enhanced
instruction that is not met through
current means.
0-3
Outcomes
(5 points) [Section 6]
Ranking Scale
Clear and compelling evidence/data
that equipment will support course
and/or program outcomes above and
beyond current capability.
4-5
Clear evidence/data that equipment
will support course and/or program
outcomes beyond current capability.
2-3
Limited or no evidence/data that
equipment will support course
and/or program outcomes beyond
current capability.
0-1
Total Cost of Ownership
(Financial &
Sustainability)
(5 points) [Section 7]
Ranking Scale
All items/issues in the Financial and
Sustainability sections fully
addressed.
4-5
Items/issues in the Financial and
Sustainability sections are partially
addressed.
2-3
Items/issues in the Financial and
Sustainability sections minimally
or not satisfactorily addressed.
0-1
IE Rubric:
RAC will evaluate each IE request based on the IE rubric. RAC stresses the importance of quality requests. RAC
may choose not to rank incomplete IE requests.
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2
Internal Use
IE #: _______________
Total $:_____________
INSTRUCTIONAL EQUIPMENT REQUEST
SPRING 2018-2019
Re
quester Name: ________________________Division Name: ________________________
__________________________SUMMARY INFORMATION_________________________
Title of Item:
Equipment Location Building: ____________________ Room: ______________________________
Location Comments:
SECTION 1: EQUIPMENT DESCRIPTION______________________________________
The equipment is:
☐
A Replacement
☐
An Upgrade
☐
New Equipment/Technology
Describe the specific equipment requested and how it will be used to replace, upgrade or provide new
technology to LPC from what is currently in place:
3
LPC MISSION STATEMENT:
LPC is an inclusive learning-
centered institution providing
educational opportunities and
support for completion of students’
transfer, degree, basic skills,
career-technical, and retraining
goals.
Accreditation: Establish regular and ongoing processes to implement best
practices to meet ACCJC standards.
development and maintenance.
Tutoring Services: Expand tutoring services to meet demand and support
student success in Basic Skills, CTE, and Transfer courses.
Professional Development: Coordinate available resources to address current
and future professional development needs of faculty, classified professionals,
SECTION 1: EQUIPMENT DESCRIPTION (contd)________________________________
If applicable, describe the legal requirement, mandate, or safety concern for purchase of this equipment,
making specific reference to the legal requirement or regulation:
SECTION 2: LPC MISSION STATEMENT AND LPC PLANNING PRIORITIES______
Specify how the equipment supports LPC’s Mission Statement and Planning Priorities:
4
SECTION 3: EDUCATIONAL ITEMS – PROGRAM REVIEW______________________
Specify the educational programs this equipment supports:
If this equipment is included in your Program Review, please include the exact wording. If equipment is
not included, explain why:
5
SECTION 4: TEACHING AND LEARNING______________________________________
Describe in detail the impact this equipment will have on teaching:
Describe in detail the impact this equipment will have on learning:
Each academic year, this equipment will impact: ____ # of classes/sections ____ # of students
SECTION 5: OUTCOMES (SLOs)_______________________________________________
Using your documented SLOs, specify how the equipment will enable student learning outcomes to be
achieved.
What are the consequences related to learning outcomes if request is not funded?
6
SECTION 6: TOTAL COST OF OWNERSHIP (FINANCIAL & SUSTAINABILITY)___
What is the potential life span of the requested equipment?
If new storage is needed what are the storage requirements, location requirements, and costs associated
with the new equipment: (NOTE: Specific storage costs should be detailed in the “Part A: Initial
Start-up Costs” section below.)
If this equipment replaces old equipment but the old equipment will not be retired, are there on-going
storage requirements, location requirements, and costs associated with the old equipment? If so, provide
details.
What will
be required to maintain the equipment, such as regular servicing or upkeep? (Specific on-going
costs should be detailed in the “Part B: On-Going Annual Operating Costs” sections below as applicable.)
Explain how this equipment meets or exceeds basic sustainability efforts and/or provides renewable
resources to the college:
7
If your proposed equipment will require assembly or installation, please explain what is required, who
will preform it, and what the cost will be?
SECTION 6: TOTAL COST OF OWNERSHIP (contd)___________________________
Part A: Initial Start-up Costs
Item
Cost
Comments
Equipment or Materials
Taxes (9.5%)
Shipping or Delivery Charge
Installation Costs *
Miscellaneous Costs:
Facilities Modifications
Operator Training
Maintenance & Repair Training
Storage
Other: ______________________
Vendor Discount
Grand Total:
*
For items requiring installation, requesters are required to check with District Purchasing (Victoria
Lamica) regarding District policies.
Part B: On-Going Annual Operating Costs
Item
Cost
Comments
Annual Service or Maintenance
Estimated Parts Replacement Per Year
Outside Standardization or Calibration
Costs
Storage Costs
New Supply Costs
Miscellaneous Costs:
Maintenance & Repair Labor
Other: ______________________
Annual Operating Costs:
Indicate the source of funding for on-going annual operating costs:
8
SECTION 6: TOTAL COST OF OWNERSHIP (contd)___________________________
Part C: Incremental Labor Costs
OPERATOR:
Indicate the key operator: ___________________________________________________________________
Is this in their current scope of duties? _________________________________________________________
Indicate cost to train key operator (include in Initial Start-up Costs above): _________________________
Indicate amount of time per month key operator will use equipment: _______________________________
MAINTENANCE & REPAIRS:
Indicate the person performing maintenance and repairs: ________________________________________
Is this in their current scope of duties? ________________________________________________________
Indicate cost to train for maintenance and repairs: ______________________________________________
Indicate amount of time per month maintenance will be required: _________________________________
APPROVALS_________________________________________________________________
Funded requesters will be expected to respond to a brief RAC feedback survey by a requested deadline.
Requests for computer-related equipment and printers must be reviewed by the LPC IT Department.
Signatures:
______________________________________
Requester
______________________________________
IT Department (if required)
_____________________________________
M&O Department(if installation is required)
______________________________________
Dean/Manager
______________________________________
Vice President
________________________________
Date
________________________________
Date
________________________________
Date
_______________________________
Date
_______________________________
Date
9
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Completed 21 July 2020

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