Request for Technology in a departmental space or a general use space.

Please complete the following for describing the technology you need need for the departmental or general use space. The form will be sent to Dale Rivett drivett@ksu.edu

There is no charge for completing the request form.

After receiving the request, technology and facilities personnel will be in contact with you to gain a better understanding of your request.
Please understand that all technology requests are reviewed by the Technology Classroom Planning committee.

Please do not use abbreviations for Buildings or Departments!

* required fields

Name of Requester*
Department Name*
Building (Mailing Address on Letterhead) *
Main Office Room # *
Building (Where Work is to be Done) *
Room # (Where Work is to be Done) *
Primary contact person *
Room # (Office #) *
Phone Number *
Email *
Second contact person*
Phone Number *
Email *
Approving Department Head *
Department Head Email Address *
Identify the current owner of the space:
Departmentally managed space University managed space
Identify the funding sources for this renovation:
Departmental funds (Provide account number in the comments) Do not know
Please provide a description of the request. Provide as much detail as possible including objectives for the space, use/capacity, and any other pertinent information so that we can route this request appropriately.*