(Format for formal EDP request)
 
EDP REQUEST
Request Number
 
Institution/Agency University System Board of Regents
University/College/School/Unit Southern Polytechnic State University
School of 
Department Name
Mailing Address Director
Computer User Services
Southern Polytechnic State University
1100 South Marietta Parkway
Marietta, Georgia 30060-2896
Location of Equipment Building & Room Number
Person Responsible for Equipment John Smith, Department Head
Telephone 528-7000 or GIST 224-7000
 
TYPE OF REQUEST
 
Check one. ______New System ______Upgrade of existing system PRIMARY USE OF EDP GOODS AND SERVICES:
 
Check primary use. ______Administrative ______Instructional ______Research ______Service

EDP GOODS AND SERVICES REQUESTED

COST OF EDP GOODS AND SERVICES FUNDING SOURCE
 
Check all that apply. ______State ______Grant ______Service Income ______Contract

ACQUISITION METHOD
 
Check one. ______Purchase ______Installment Purchase ______Rent ______Gift

MAINTENANCE METHOD
 
Check one. ______Self Maintenance ______On-Campus Service Facility

ESTIMATED MAINTENANCE COST COMPUTER AND DATA SECURITY WORK TO BE PERFORMED AND WORKLOAD ALTERNATIVE METHODS CONSIDERED RECOMMENDED METHOD EXISTING EDP GOODS AND SERVICES AND CURRENT USE DATA COMMUNICATIONS/NETWORKING METHOD
Check all that apply. Campus Network Access: ______Modem ______Direct Connection ______Not Applicable

PeachNet Access: ______Modem ______Direct Connection ______Not Applicable

VENDOR INFORMATION ADMINISTRATIVE APPROVALS REFERENCE TO THREE-YEAR EDP PLAN