Enter your hardware request below. Please fill in all fields with the appropriate information.
If you do not have information for a specific field please enter "none" or "N/A" if it is not applicable.
  Lab Name and Location
Department Information
 
 
Department
 
 
Dept Contact Name
 
 
Dept Contact Email
 
 
Dept Head Email
 
 
Phone
 
 
Vendor Information
 
 
Vendor Name
  
 
Vendor Contact Name
  
 
Address
  
 
City
  
 
State
  
 
Postal Code
  
 
Phone Number
  
 
Fax Number
  
 
Email Address
  
 
Hardware Information
 
 
Hardware Title
  
 
Hardware Company
  
 
Part Number
  
 
Unit Price
  
 
Quantity
  
Date hardware is needed by (mm/dd/yyyy):
   
Justification for use of Student Computing Technology Fee (SCTF) Funds. Include a list of programs that will benefit from this purchase and the number of students this hardware will impact.
   
How will you assess if this hardware has accomplished the goals it was purchased for?
   
Please enter any additional comments you have for this request.
   
Is this hardware for student use only? (Check if yes)
   
 
  Please verify that all the information you entered is correct, and click 'Submit Request' when you are done. Also note that a copy of this request will be sent to your department head.