The Department of Information Technology requires this form to request new software to be installed on the centrally managed College servers as well as department or lab specific servers. To request the software installation, please fill out the entire form and submit it.
Contact Information
First name: Middle initial: Last name:
Department: Phone number:
Email address:
Software Information
Name of requested software:
Version number of software:
General description of software:
Date software is needed:
Is this an upgrade or new item?
How often will the software be used:
How is the software licensed? Single License: Site License (unlimited): Multiple (how many)
Please note: Documentation and licenses must be provided before IT will install any software.
Where will the software need to be accessed from:
Do the workstations in this location meet software's minimum hardware requirements? Yes No
Who needs access to the software?
Vendor Information
Company name:
Name of contact person:
Email address of contact person:
Company web address:
Company phone number:
Company fax number:
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