Software Request Form

Person requesting the Software-

Name of the Software -

Currently Owned by the District? -

Is there an evaluation copy available?-

CD/DVD or Web based? -

Has an Implementation Plan been Written for use of this Software?

Software Vendor Name -Address & Phone -

Educational/Business purpose -

Cost of Software -

Software request for - (Check All that Apply)

    Curriculum Review     Textbook Adoption     Grant     Review for Potential Purchase

    Purchased     Potential Installation     Other - Comments

Who will use the software? -

    Everyone     Students     Special Ed     Staff/Teachers     Staff/Administrative

Specify where the software will be installed - (Buildings)

               All     Baierl    BWE    CAO    CMS    FAC    FES    HES   IES   

               IMS    McK    MES    MMS    MNT    NAI    NAS    PES    TRN

How many licenses will be required? -

(Installation for a Lab, Single PC, Select Group of PC's) -

Type of license available -

Single PC License -            

Multiple PC License -        Number per License -

Site License -     

     Number per building -     Complete Building -     Entire District -

Was the Software Reviewed with School Principal or Supervisor -