Technology Request Form

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School

required

Room # / Location

required

where technology requested will be located

Name of person requesting item

required

Email of person requesting item

required

Phone number of person requesting item

required

Internal Funding Code

required

Requested Items

Requested Technology

required

Quantity

required

Price Per Item

required

Total Cost

required

row changed

please fill in the missing information

TOTAL

$0.00

I have provided an internal funding accounting code

required

Yes

Option added

I have read and reviewed the District's Approved Technology List and have ensured the requested technology abides by this policy and / or have attached educational or business justification for the requested technology.

required

Yes

Option added

Approved Technology List

Requester Signature required

I understand that if I have requested technology that is not on the District's Approved Technology List that this may limit or disqualify technical support that may be offered by the District Technology Staff.

required

Yes

Option added

I understand that if Maintenance determines additional costs to accommodate the technology being requested additional funding my be required to accommodate this technology hardware request.

required

Yes

Option added

Who Should Approve

required

Select user or users who should be approving this request.

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