T & E Request Form

TECHNOLOGY & EQUIPMENT REQUEST
All equipment and technology requests over $1000 and all printers and computers, regardless of pricing, will be reviewed and funded based on the following criteria:

1) Is the technology request included in the program/college annual report?

2) Has the need been identified by the program advisory committee on business and industry use and needs for additional/change in technology?

3) How will the technology request enhance your program/college?

4) How will students, courses, programs, or disciplines be impacted by the technology implemented?

All criteria are given equal weight when prioritized for funding by the committee. (Please address criteria in the request justification.)

Requests for upgraded computers already within the college must also be submitted via this Jotform. Requests will be filled with college-approved equipment only.
REQUEST DETAILS

Please fill out a new form for each item requested.
Item Title & Description
Vendor
If you will be requesting multiple items, please prioritize with a scale of 1-5, 1 being the highest degree of need. Also, please indicate if the request should be considered an all or nothing proposal.
Priority
All or Nothing Request?
Proposal Narrative

0/700
Funding Sources

*Please enter the account number in the appropriate spaces.
1a) Program Budget
1b) T&E Funds
1c) Grant Funds
1d) Lab Fees
1e) Campus Deans Budget
Account Number
Total Cost of the Proposal
Campus Location
Is there already a space for this technology/equipment?
How are you going to make space for this technology/equipment?
Has the Maintenance Department been notified about utilities and/or space needed?
Please submit any necessary documents such as estimates, quotes, etc.

Browse Files

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EMPLOYEE DETAILS
Employee Name

First NameLast Name
Employee Work Phone Number

Area CodePhone Number
Employee Email
example@example.com
Job Title
Department
Employee Supervisor
Employee Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

If you have any questions, please feel free to contact a committee member with any questions:

Robert Leifeld	Jeff Soper	Don Edwards
Melissa Regelstad	Matt Bohl	Kyle Norris
Troy Larson	Tia Bernholtz	Jeremiah DePyper

SUPERVISOR APPROVAL SECTION
Supervisor Name (Approver)

First NameLast Name
Job Title
Supervisor Signature (Approver)
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

TECHNOLOGY & EQUIPMENT REQUEST

REQUEST DETAILS

EMPLOYEE DETAILS

SUPERVISOR APPROVAL SECTION