Hardware Request Form - Diné College

Please note that you must have approval from your Department PRIOR to filling out this form.

Faculty/staff monitor purchases for telecommuting will not be approved. If the purchase is not a monitor replacement for an office on campus, only monitors purchased with external funding (i.e. grants) will be approved.

Please note that the approved monitor request from the college is a single 24″ monitor.

**The pandemic has adversely affected manufacturers and delivery services. Therefore we cannot guarantee delivery dates. We ask that you take that please take that into consideration when placing an order. Thank you for your patience.**

Contact Information

First name

Last Name

Your email

Campus Builiding and Room Number

Hardware Information

Type of Hardware

Quantity:

Preferred Specifications:

Processor:

RAM:

Storage:

Graphics Card:

Additional Requirements:

Is this an upgrade or replacement for a component in an existing machine? * If its no (please Justify)

YesNo

Would you like consultation on your purchase? *
YesNo

Please describe what equipment/parts are necessary. *

Funding Information

Are the account funded by

General IT funds

Department Dean/Supervisor Email Address *

Account Number *

Departmental Approval *

YesNo

I acknowledge that I have obtained Departmental Approval for the hardware I am requesting via this form.

Upload

If you have documentation in regards to your request, system specifications, quotes, etc. You may upload it here.

Additional Upload 1

Additional Upload 2

Please only click the Submit button once. It takes some time for the form to process. Thank you.