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Requestor Information  
* Name
* Department
* Telephone
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* Please provide as much detail as possible including the problem you are trying to solve and what assistance you would like from the Center for Educational Technology
Strategic Alignment  
* Please indicate which specific departmental and/or organizational strategic objective this effort will address
Justification / Return on Investment  
Please provide as much detail as possible. Highest priority will be given to requests that impact the greatest number of students and faculty
Date Required
Other Information  
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Consequences if date not met
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Sponsor Faculty or Course
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