Campus
______________________________________________
Organization/Department
______________________________
Contact Person
________________________________________
Phone Number
_________________
Address _______________________________________________________________________
Proposal Title
__________________________________________________________________________
Name of Submitter
_________________________________________
Date
______________________
P
ROPOSED PURCHASES
:
(Specify if the proposal is a lease, rather than a purchase and give the terms of the lease.)
J
USTIFICATION
:
S
UMMARY OF EXPENDITURES
:
(Summarize purchases and costs. Give total cost of project here. Attach hard copy requisitions
giving model numbers, vendors, cost, etc.)
C
URRENTLY EXISTING SPACE
,
EQUIPMENT
,
AND STAFF TO SUPPORT THIS PROJECT
:
(Requests for employees or technology-
related maintenance need to be submitted individually rather than as part of a project. You MUST indicate which existing staff will
supervise any new lab proposed OR a separate request for lab personnel must also be submitted for consideration.)
P
ROJECTED TIME LINE FOR IMPLEMENTATION
:
________________________________________________________________ Date _____________________
IT Department
________________________________________________________________ Date _____________________
Technology Fee Committee
This document contains both information and form fields. To read information, use the Down Arrow from a form field.
P
ROPOSAL FOR
U
SE OF
S
TUDENT
T
ECHNOLOGY FEE FUNDS
ALL INFORMATION REQUESTED MUST BE COMPLETED ON THE FRONT OF THIS ONE-PAGE FORM. HARD COPY REQUISITIONS MUST BE ATTACHED
TO THE FORM FOR SUBMISSION TO PURCHASING BY THE TECHNOLOGY FEE COMMITTEE IF THE PROPOSAL IS FUNDED
.
Approved:
Approved:
Rev.2/10/14
