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Please provide the following in appropriate detail.

Department:

Person within your department to contact for clarification: 

Location:

Is this request reflected in your five-year plan?   

In what academic year do you propose to upgrade this lab?

How many workstations do you propose?

Which computer platform (Wintel or Macintosh) is currently in the lab and which computer platform (Wintel or Macintosh) do you propose for the upgrade?

What NEW software will you require on each workstation? (It is assumed you will continue to use the software currently on the machines unless otherwise noted here.)

Do you anticipate the need to upgrade the software within three years?

If so, what is the anticipated need?

What special hardware needs do you have above the current minimum configuration?

What NEW peripherals (printers, scanners etc.) will you require for this lab? (It is assumed you will continue to use the current peripherals unless otherwise noted here.)

If the lab is to be a teaching lab, what equipment or special requirements do you have for the teacher’s station?

Do you have the budget necessary to sustain the operation of this lab?  (This would include, but not be limited to: lab employees (student or staff), printing supplies, incidental repairs, etc.)

Please estimate the number of students, classes, or departments that will be served by this lab?

Please detail your rationale for upgrade of this lab including a statement of your primary purpose.

Do you currently have an evaluation method or evidence that this installation has had a positive effect on the teaching / learning process in your department?  If so, please detail the evidence.

Please detail how this installation will help meet the mission of your department and the overall mission of the university.

Do you have in place a means to evaluate the effectiveness of this installation with regard to its purpose and the overall mission of the department and university?  If so please detail the evaluation plan.

Signature of department head: ___________________________________

Signature of appropriate dean: _________________________________________

Signature of Provost: _________________________________________