Staff Technology Award Proposal
Electronic Request Form
USER INFORMATION
(To be filled out by user.)
Staff Member
First Name
Last Name
Department
Office Location
Telephone
E-mail Address
Provide ITAC with the information requested below. Please call Joe Miragliotta, Manager, Planning & Emerging Technology with any questions.
Area of Improvement
Daily Activity
Learning/Classroom
System/Application
Provide a detailed description of the proposal including technology used, activities, etc. in the box below.
Provide details of the cost/time savings in the box below.
Estimated Cost Savings:
IT Comments (to be filled out by Information Technology only)