One Term Computer Checkout 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
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 System Requested
Windows Laptop
Macintosh Laptop
Term Computer Needed
Fall (Aug - Dec)
Spring
(Jan - May)
Summer (May -Aug)
Indicate your rational for the One Term Checkout.
Indicate any special needs. (Standard COD software packages are installed on all the laptops.)
