Hardware Request

Administrative Services

Computer lab with students

Technology Request

Technology Request Form

First Name*

Last Name*

Email*

CSID*

Phone*

CRN/Section #

Instructor of Record *

School Name*

Department*

Building*

Room #*

Semester/Term*

Hardware type

If you selected "other" for hardware type, please specify.

Hardware Quantity

Software needed

Number of licenses

Comments/Special Instructions