Technology Purchase Request Form
All purchases involving technology hardware, software, subscriptions, licenses, peripherals, or technology-related services must be approved in advance by both the District Technology Director and the Finance Director prior to the initiation of any purchase or procurement process.
Requester name
*
Requester E-Mail
*
Building Admin Name
*
Building Admin E-Mail
*
Date of Request
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Building
*
Please Select
Business Office
District Office
ECE
CCE
LES
LHS
LMS
Support Center
Teaching & Learning
Technology
Room/Location
*
What items(s) are you requesting and how many? *
Please Select
Accessories for iPad/tablet
Boxlight Interactive Panel
Chromebook(s)
Chromebook cart(s)
Desktop/Workstation
Document Camera
Laptop
Mice/Keyboard
Monitor
Networking Equipment
Printer(s)
Subscription Software
Non-Subscription Software
Wireless AP
Other
Specific name of each item requested (Attach a copy of the specifications to this document):
How will this item support student learning?
*
When and how will this technology be used?
*
What supporting/specific software (if any) is required to maintain this item?
*
How many students will be working with this technology?
*
How is this being funded?
*
Who will be responsible for paying future subscription renewals?
*
Who will fund maintenance/support of this technology?
*
Estimated Cost (USD)
*
Is there anything more you want us to consider when making a decision regarding this purchase?
Upload Supporting Documents (e.g., quotes, specifications, contracts, etc)
*
Upload a File
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of
Signature of requesting staff member
*
Signature of Building Administrator
*
Submit Request
Submit Request
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