Software Request Form – Testing Contact Information First name Last Name Your email Phone no. Location & Department -- Site--Tsaile CampusTuba City CenterCrown point CentersShiprock - NorthShiprock - SouthWindow Rock CentersAneth MicrositeNewcomb Microsite Department Approval I acknowledge that I have obtained Departmental Approval for the software I am requesting via this form. YesNo Alternative Sources of Software * Have you emailed the Dine College IT Department to ensure that the software in not readily available as a college resource? YesNo Funding Sources DepartmentDC Grant Account Number, If available Software Details Software Status -- Select Status--NewRenewal Software Name Software Usage -- Options--StandaloneDepartmentalCollege-wide Software Vendor Additional Details Details If you have additional instructions for us, please enter them here. For instance, if you have feature requirements or a type of software in mind. Justification Questionnaire Upload* Please upload your completed IT Systems & Application Purchase Questionnaire here. Other Upload Please upload any additional documentation that pertains to your request, such as system specifications, quotes, etc. Consultation Would you like consultation on your purchase? * YesNo Please only click the Submit button once. It takes some time for the form to process. Thank you.
