Valparaiso University
Computer Custom Purchase Request

Important Notice: All available resources are dedicated to the equipment replacement program. Funding from Budget Advisory Committee allocation for special purposes is extremely unlikely.

About This Request
Fiscal Year:
Type of Equipment: New
Type of Request:
Requestor e-mail
For whom is this machine requested?
Name:
Department:
Office Location:
Phone:
Network Port (number
  from wall jack):
E-mail:
Login Name:
Where will equipment be located? (if different from above)
Department Abbr.
Cluster (if applicable)
Station Number (if applicable)
Building Abbr.
Room Number

Nuts and Bolts
Source:
Timing:
If request is not granted, we assume you will retain your present machine. If a reallocated machine is desired, a separate request must be submitted.
Configuration
Since you are requesting a custom configuration, please request consultation via the Help Desk and include HEAT ticket number and justification in comments section below. Custom configurations involve disproportionate IT staff effort to support.
Configuration: Reference Config Custom Comments
Hardware
Genus Windows
Type Desktop
Manufacturer Dell
Common Name Optiplex
Model
Processor Type Pentium IV
Processor Speed 2.8G Specify -->
Memory (MB) 512 MB Specify -->
Disk 40 GB Specify -->
Media CD-RW/DVD Specify -->
Sound Yes
Network Card 10/100/1000
Monitor Size 17"
Backup Unit CD-RW
Software
Operating System Windows XP Pro
Productivity Suite Office 2003
Browser Mozilla
E-Mail Mulberry
Note: Other peripheral devices and software must be requested on the Peripheral Equipment Request Form. If you are going to make such a request, please note that in comments section.
What old equipment will be replaced by this?
(If you do not intend this to replace existing equipment, you must submit Decanal or Vice Presidential approval.)
VU Tag Number
Serial Number (if Tag Number not available)
Will you ask IT to move files?
If the machine being replaced is not available at the stated location at the time the new equipment is to be installed, IT staff will return the new equipment to storage pending resolution of the discrepancy. If the machine being replaced is serviceable, IT will reallocate it based on pending requests and Decanal or Vice Presidential priorities.
Comments (Anything else we should know or do?):
This form should mail itself to the Requestor E-Mail Address which you provided above. Please recheck that address.

When you receive the confirmation copy of the form, forward it to your Department Chair (or Director), who will forward it to the Dean (or Vice President), who will forward it to IT.Office@valpo.edu. These endorsements are required before IT can honor the request. In addition, further administrative endorsement may be required, particularly if the amount requested from general funds exceeds the amount allocated for the stated purpose.

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Aug 15 2005