Georgia Perimeter College
Computing Equipment Request Form
Individual Requesting Equipment/Software  
Name__________________________________________________Phone#__________________   

E-mail ID_________________________Department_____________________________________   
                                               Campus                   Building                                       Room   
Equipment______________________________________________________________________
 
Peripherals/special items requested: (printer support may be provided via shared network devices   
and may not require a printer to be attached to your PC.)   

Type of print quality requested   __ ink jet/bubble jet printer     __ laser printer       __ Dot Matrix  
List any special peripherals to be attached or special features required.  State justification for each.   


 
Equipment Requested will be used for:       (Please check all that apply)   

    __Banner Fin. Aid                                         __ECOM                                   __Payroll host software   
    __Banner SIS                                               __Finance System                     __Personnel host software   
    __BannerQuest Fin Aid                                 __Maximo                                  __spreadsheet   
    __BannerQuest SIS                                      __Optidoc                                  __word processing   
Access to on-line services requested will be granted/denied by database owner. Additional product specific request forms may be required for access to certain systems/screens.   
Other services or software: ( please give brand name and version of software)   


 
Approvals:                                                  Signature                                                             Date   
Budget Manager   
of requesting department __________________________________________________________________________  

Vice President                  __________________________________________________________________________  

ACIT Representative        ___________________________________________________________________
 
OIT USE ONLY
Type of network connection required         __serial                    __ethernet  
Network service available?          __yes    __no   If no, cost requirements $___________________