ABSD Technology Purchase Request Form
The purpose of the Technology Purchase Request Form is to encourage planning and to
ensure the appropriate use of resources. This form collects information to assist in the determination of
the alignment of the proposed technology, with the District’s curriculum and technology needs.
Additionally, it will assist the user in identifying an accurate cost estimate of the project/ purchase.
Completed forms should follow the routing list at the end of this form. Incomplete forms needing more
information will be returned to the original submitter.
Please Fax (586‐725‐4427 or inter office mail form to the Technology Department
Name:_____________________________
Date:___________________
Building:____________________________
Room:__________________
Describe the project and/or the specific items that are requested for purchase.
Is this request to replace existing equipment? Yes:________ NO:__________
Please describe how the purchases of this item will accomplishment curriculum goals?
Item
Description
Cost
Qty
Equipment
Installation Cost
Other
Total
Approval
Date
Signature
Building Principal
Director of Curriculum
Technology Department