Back to Software Request information
Print out this form and mail it to:
Multimedia Center
Marriott Library
The University of Utah
295 S. 1500 E.
Salt Lake City, UT 84112-0860
| Instructor's Name | |
| Campus Address
and Phone
|
|
| Instructor's E-mail Address | |
| Department/College | |
| Course Title / Section | |
| Estimated Number of Users | |
| Estimated Hours of use per user | |
| Requested Install Date | |
| Earliest Removal Date | |
| Target lab(s) |
|
| Software Title | |
| Software Vendor | |
| Vendor Tech Contact (if known) | |
| Vendor Sales Contact (if known) | |
| Vendor EMail | |
| Vendor Phone |
I, the undersigned, acting on behalf of the University of Utah Department of College listed above, have secured the necessary licenses and/or permission to install the above mentioned software product for access in the above specified Student Computing Lab(s). I (or my department/college) assume all responsibility and/or liability resulting from any use of the software in the specified lab(s). I have read, understand, and agree to abide by the University of Utah SCL policies listed above.
Date: ________________
Name (printed): ____________________________________________________
Signature: ________________________________________________________
Title: ____________________________________________________________