Submitters Name (Dean, Dept. Chair) Department

Date Contact Person Phone

Email

Type of Project

Presentation Podium Installation
Sound System Installation
Instructional Video Recording
Other (Please Describe in the box below

Project Location

Campus Building Room

Resources
Need project cost analysis
Have resources to cover project cost either full or partial
Do not have resources to cover project costs

Goals and Impact of Projects
Describe what goal(s) you want to achieve with the completion of this project? How will this project impact
students and staff at Portland Community College?

Your project request will be reviewed within 3 working days. You will receive a followup notice to setup further project discussions.

Thank You.