Online Tech Fee Proposal BETA 1.1

Before submitting your request for funds, first read the accompanying Student Tech Fee Guidelines to confirm your proposal conforms to Authorized Uses of these funds. Please be sure to complete all required fields. The information in the proposal form will not be saved (nor relieved by the Tech Fee) until you press the SUBMIT button at the end of the form.

Requestor Information
Name*
First Last
Date*
MM slash DD slash YYYY
Email*
Work Phone*
Other Phone*
Campus Department*
Displine / Program*
Department / Program Chairperson*
First Last
Tech Fee Propsal Details
Has the Department or Program Chairperson listed in the previous section approve this request?*
- No
- Yes
Please indicate the building and room where items will be housed or used?*
Please list the semester which the technology will be available for student use*
How many student per semester will benefit from this technology?*
Requested Items

List

Quantity	Item Name	Vendor / Source	Model / Version	Price per Item	Total Cost w/ tax + shipping

Grand Total*
Purpose and Justification for Purchase
Explain how this proposal for Student Tech Fee funds will benefit student learning opportunities.

Submit Tech Fee Proposal Online

Online Tech Fee Proposal BETA 1.1

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Online Tech Fee Proposal BETA 1.1

Requestor Information

Tech Fee Propsal Details

Requested Items