Instructional Technologies Purchase Request

If there is educational software or equipment that you would like to suggest that Instructional Technologies consider for purchase, please fill out and submit the form below.

For suggestions of library materials (books, databases, DVDs, journals, etc.), please fill out the library purchase recommendation form instead.

Instructional Technologies Purchase Request Form

Name: *

Department: *

Email: *

Item Information

Please provide as much information as possible.

Format: *

Title or Series Title: *

Examples of Instructional Technologies Equipment: data projector, digital video camera, DVD player, DVD recorder, flex camera, or other

Version:

Purpose of Request: *

Do you wish to request a 30-day trial; upgrade an existing application; or purchase a new resource? Other?

Have you already previewed or evaluated this resource?:

Yes

Who else at NCSSM might be interested in evaluating this?:

What class(es) will this purchase support?:

Number of Seats for License or Copies:

Cost: $

License and Terms:

Date Needed By:

T1, T2, Mini-Term, T3, or Other Date

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 3 + 14 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.