Maintenance – Technology – Project Planning Form
This form should be submitted by a building administrator for any project or change in facility or equipment which involves the following: office or room construction, office swaps or personnel relocation, adding staff to an existing space, grants involving purchase and installation of new equipment, or any other instance which may require either electrical or network changes or additions. Please submit to Director of Technology.
School name _______________________ Date Submitted_____________________
Signature of Principal/Director:_____________________________________________________
Reason for request:__________________________________________________________________
__________________________________________________________________________________
Priority: ______________________ Desired Completion Date __________________
Budget Code(s): ________________________________________________________________
If this involves moves to staff, please complete the following:
Affected staff
Room number
Previous Room
Staff member involved in planning process
Yes No
For internal use only
Date Received _____________
Site Review
Date
Initial
Needs
Electrical
Network
Construction
Other (specify)
Proposed actions:
Maint or Tech
1.
2.
3.
4.
Project changes:
Maint. Cost Estimation
Tech. Cost Estimation
Technology director signature _______________________________________ Date _________
Maintenance director signature ______________________________________ Date _________
Attachments: Main-Tech_Project_Form.pdf
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