Replacement or Upgrade of Existing Resources (Deferred Maintenance Form)

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PLEASE NOTE, IF A DEFERRED MAINTENANCE PLAN DOES NOT ALREADY INCLUDE THE ITEMS YOU ARE REQUESTING, FUNDING MAY NOT BE IMMEDIATELY AVAILABLE AND YOU OR YOUR BUDGET MANAGER MAY BE ASKED TO PROCEED TO THE PARA PROCESS.
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Name* This field is required.
First Name
Last Name
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Your Department or School* This field is required.
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Email* This field is required.Please use your pointpark.edu email address
example@example.com
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Do you want to list other contacts for this request?* This field is required.This would include contributing or requesting faculty/staff, as well as other program directors or unit managers who have collaborated with you on this request.
YESNO
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Please list the names and email addresses of additional contacts for this request.
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Please provide a brief description of your request.* This field is required.
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Please include an estimate of cost for this upgrade or replacement, if you have one.The receiving department will assist in determining final cost for your need.
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Please include a department budget number.Charges will not be made to this budget number without consultation. A budget number is requested as a means of determining that the request has been made by, or after consulting with, a budget manager.
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Please select the option that best represents the urgency of your need.* This field is required.Requests will be reviewed as soon as they are received. While departments will do their best to take your urgency into consideration, please understand that some requests may require additional time for fulfillment.
Requested immediately
Requested within the next 2-4 weeks
Requested within the next 3 months
Requested within the next 6 months
Requested within the next year
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Is this request a result of assessment from a prior or current year?* This field is required.Program Review, Student Learning Assessment, University Assessment, Accreditation Review or internal audits are all examples of assessment.
Yes
No
I'm not sure
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Please provide a description of the assessment results that have led to this request.You will have the option to upload assessment evidence.
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Please upload assessment evidence here, if applicable.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Please choose the request category that best describes your needs.Your choice will allow University support services to expedite your request. We understand that some requests will fall under multiple categories. Please choose the category of "best fit."
Replacement of office furniture
Replacement of classroom furniture
Replacement of lounge furniture
Replacement or upgrade of an appliance
Replacement or upgrade of hardware
Upgrade, maintenance or refurbishment of an academic space (lab or classroom)
Upgrade, maintenance or refurbishment of an office or lounge space
Replacement or upgrade of academic technological equipment (computer lab or classroom smart podium)
Replacement or upgrade of office technological equipment (computers, conference phones, etc.)
Replacement or upgrade of items used for student instruction within an academic program
Other
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You have selected "Upgrade, maintenance or refurbishment" of a space.This selection may require a walk-through with Physical Plant personnel. Please indicate below a minimum of 3 dates and times that you are available for a walk-through.
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You have selected "Other." Please briefly explain your selection. This information will be used to effectively direct your request to the appropriate department.
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Please take your time now to review your entries on the past sections of this form then select SUBMIT to complete your form. After you select SUBMIT, you will not be able to change your submission.
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