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Student Tech Fee

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INFORMATION

First Name^*

Last Name^*

Email^*

Emp ID^*

Are You?^*

Department/Organization/Major^*

Project Title^*

Project Category^*

Problem Statement/Need (Describe the current gap, limitation, or opportunity)^*

Who will benefit from this project? (e.g. specific student groups, departments, or broader campus community)^*

Project Description (Explain what you are proposing, how it will work and what technologies will be used; describe what makes this project innovative and how it enhances the student experience or institutional tech)^*

IMPLEMENTATION

Project Timeline (key milestones and est completion dates)^*

Roles and Responsibilities (who will work on the project and in what capacity)^*

Sustainability Plan (how will the project be maintained after initial funding is spent?)^*

Budget Request: Total Amount requested & a budget table^*

Budget Item^*

Cost^*

Description^*

Total Amount^*

Expected outcomes: (What measurable results will indicate success?)^*

Evaluation Plan: (How will outcomes be assessed or measured?)^*

Does this project involve data collection, privacy or security considerations? (Yes/No) if yes please explain^*

Yes No

Does the project require collaboration with IT or another department? (Yes/No) if yes please explain^*

Yes No

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