Reset Form
Software/Application Request
School Requesting: ________________________________________ Date: _____________________ Contact Person: ______________________________________________________________________ Principal Signature Approval: ___________________________________________________________ Name of Software or Application: _______________________________________________________ New or Renewal? New Renewal Cost with quote attached: Salesperson and contact information: _____________________________________________________ Proposed Funding: Building Budget Curriculum Title I 31a School Improvement Goal Alignment:
What is the Implementation Plan? School‐Wide vs. Targeted Students, Usage, Grade Level, Purpose, etc.
Approved by the SIP Committee? (Software Only) Curriculum Approval: Technology Approval:
Yes
No
Yes
No
______________________________________ Curriculum Director Signature
Yes
No
_______________________________________ Technology Director Signature
Return this form to Derrick Richards at Central Office or via email at
[email protected]
