Hardware Technology Proposal
Electronic Request Form
USER INFORMATION
(To be filled out by user.)
Faculty Member
First Name
Last Name
Division
Business and Technology
Liberal Arts
Natural Sciences
Health, Social and Behavioral Sciences
Library
Counseling
Office Location
Telephone
E-mail Address
Existing Computer System
Windows or
Macintosh
Provide FTAC with the information requested below. Forward any copies of printed materials that you believe are necessary for evaluating this proposal to Joe Miragliotta, Chair FTAC, SRC 2001.
Type of Technology Requested
hardware upgrade
computer peripheral
Name & Version of Technology Requested
Manufacturer
Estimate of Cost
Indicate below how you anticipate this technology will enhance and support instruction.
Please indicate if there are other possible uses for this technology in the box below.
Other uses are:
