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Technology Use Request Form
Please Note: This form is designed for Teachers who are requesting to use new hardware and/or software in their classroom. This form is not for requesting general supplies nor technical support.
Your Information
Requester:
*
District:
*
CJUSD
RUSD
YCJUSD
ROP
CEO
School or Site:
*
Bloomington High School
Clement Middle School
Colton High School
Colton Middle School
Citrus Valley High School
Gran Terrace High School
Green Valley High School
Joe Baca Middle School
Mesa View Middle School
Moore Middle School
Park View Middle School
Redlands East Valley High School
Redlands High School
ROP Main Site
Ruth O. Harris Middle School
Terrace Hills Middle School
Yucaipa High School
Other
Other Site/Location:
*
Room/Building:
*
Hardware or Software/Service Information
Technology Request Type:
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Hardware
Software
Manufacture/Vendor:
*
🛈
Product/Version:
*
🛈
URL:
*
🛈
Intended User(s):
*
Teacher
Student
Staff
All
App On List?:
*
Yes
No
Click Here To Check The App Lists
Has your district approved this app?
*
Yes
No
Product/License Type:
*
Device
PC
User
Textbook
Quantity:
*
Your Budget:
*
🛈
Estimated Cost:
*
🛈
Platform:
*
Web App (Browser)
PC - Desktop App
MAC - Desktop App
Android App
iOS App
Have you discussed this with your fellow teachers?
*
Yes
No
Which Teachers?:
*
If there are multiple teachers for the same class, you are required to discuss this product with them prior to submitting this request.
The decision for this request must be unanimous.
Description:
*
🛈
0/255 characters
Reason/Purpose:
*
🛈
0/255 characters
Additional Information:
*
🛈
0/255 characters
Alternatives:
*
🛈
0/255 characters
Course Outline:
*
🛈
0/255 characters