Software Request Form - Diné College

Please use the following form to submit software requests to the DINE IT Department.

BEFORE COMPLETING THIS FORM, Please Note:

**To submit this form, you must have PRIOR approval from your Department.

Contact Information

First name

Last Name

Your email

Phone no.

Location & Department

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

Software Name

Software Usage

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.