Enter your software 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
  
 
Software Information
 
 
Software Title
  
 
Operating System
  
 
Manufacturer
  
 
Part Number
  
 
Unit Price
  
 
Quantity
  
Check box if this is a version upgrade
  
What are the recurring costs, if any? (Maintenance fees, yearly contract, etc. - N/A if none)
  
Date software 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 software will impact. Please do not hit the Return key while typing in this field.
   
How will you assess if this software has accomplished the goals it was purchased for? Please do not hit the Return key while typing in this field.
   
Please enter any additional comments for your request. Please do not hit the Return key while typing in this field.
   
Is this software for student use only? (Check if yes)
Please note that SCTF Funds are for computing technology only and not items such as furniture.  
 
  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.