SOFTWARE & ELECTRONIC CLASSROOM REQUEST FORM  

In order for our support staff to provide the software needed for your upcoming course, please fill out the information below. (All fields must be complete)

 
Instructor's Name:
 
E-mail:
 
Semester:
 
Year:

Course Title:

Course Abbreviation: (example: for English - Engl)

Course #: (example: 1101)

Building and Room Number:

Days of the week the class meets:
Monday

Tuesday

Wednesday

Thursday

Friday

Time the class meets:

Start Time:

End Time:

 

Requesting for entire term

                OR

Requesting for certain days within the term

    (Please list specific days and times your software is needed if you selected "Requesting for certain days within the term")

 

Anticipated # of students:

Software Information

REQUEST 1

Software Title:

 
Software Platform & Version: Please insert 0 if version is not known.
 
 
Notes regarding software and/or course:

 

REQUEST 2

Software Title:

 
Software Platform & Version: Please insert 0 if version is not known.

   

Notes regarding software and/or course:

 

REQUEST 3

Software Title:

 
Software Platform & Version: Please insert 0 if version is not known.

   

Notes regarding software and/or course:

 

REQUEST 4

Software Title:

 
Software Platform & Version: Please insert 0 if version is not known.

   

Notes regarding software and/or course:

 

REQUEST 5

Software Title:

 
Software Platform & Version: Please insert 0 if version is not known.

   

Notes regarding software and/or course:


Division of Information Technology
Campus Box 050
Milledgeville, GA 31061-0490
Last Updated:  11/17/08
For technical assistance, please contact the Serve Help Desk at (478) 445-7378
IT web pages updated by Cindy Bowen (478) 445-1196