PCAL Technology Request Form

* Requestor Name

* Requestor WKU 800#

* Requestor Email

* Best Contact Phone Number

* Request Type

Technology Replacement

New Employee Technology

Eligible for Newly Purchased Computer

Tenure-Eligible Faculty

Permanent instructor (no end date in contract)

Full-time staff member

Eligible for Recycled Computer

Temporary Instructor (1, 2, or 3 year contracts)

Part-time staff

Other (e.g. student worker desk)

If "other", please explain.

* Department

Art & Design

English

Folk Studies & Anthropology

History

Modern Languages

Music

School of Media & Communication

Sociology & Criminology

Theatre & Dance

Political Science

* Primary Building

Cherry Hall

Gordon Wilson Hall

Grise Hall

Honors College and International Center

Ivan Wilson Fine Arts Center

Jody Richards Hall

Music Hall

Van Meter Hall

* Room Number

* Type of Location

Office

Classroom

Other

If "other", please specify.

* Type of Technology

Laptop Computer (Mac)

Laptop Computer (Windows)

Desktop Computer (Mac)

Desktop Computer (Windows)

Projector

Projector Screen

Speakers

Podium

Other

If "other", please specify.

Current or Previous IT Ticket Numbers (Please submit up to five previous ticket numbers that may relate to this issue.)

* Please briefly describe the nature of the request. What is the problem? Has IT been contacted? Is this an immediate concern?

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