Requestor Full Name: *
Requestor Username (ex. abc2) or Calvin ID (ex. 1234567): *
Request Date (please use MM/DD/YY): *
If you are requesting software for someone else (employee, student worker, etc)....
Name of person using the computer: Relationship to you: -Please pick one- I am the supervisor or dept chair of this employee I am the supervisor of this student worker I am the administrative assistant I am a colleague
Name of person using the computer:
Relationship to you: -Please pick one- I am the supervisor or dept chair of this employee I am the supervisor of this student worker I am the administrative assistant I am a colleague
Computer 5-digit asset tag number (what is this?): *
Computer workstation name, if applicable (ex. SB176-12):
Computer location building: *
Computer location room: *
Computer operating system (do I have Windows 7 or XP?): -Please pick one- Windows XP Windows 7 64-bit Windows 7 32-bit Mac OS X *
Name of software: *
Version of software, if applicable:
Reason/type of request: -Please pick one- Computer was reimaged and previously had this software Computer was replaced or upgraded and previously had this software This is a new request already approved by CIT budget process This is a new non-budgeted request Software version upgrade Other (please explain in the Comments field below) *
Additional comments:
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