Title I - Computer Purchase 2011 Survey
Field Tech Name 
Site Name 


DELL DESKTOPS


NEW / EXPANSION
# Requested for Lab Expansion 
Justification 
Location / Description 
# Requested for Classroom Expansion 
Justification 
Location / Description 
# Requested for Teacher/Staff Expansion 
Justification 

REPLACMENT
# Requested for Lab Replacement 
Justification 
Location / Description 
# Requested for Classroom Replacement 
Justification 
Location / Description 
# Requested for Teacher/Staff Replacement 
Justification 


DELL LAPTOPS


NEW / EXPANSION
# Requested for Cart Expansion 
Cart Needed?
Justification 
# Requested for Teachers/Staff Expansion 
Justification 

REPLACEMENT
# Requested for Cart Replacement 
Justification 
# Requested for Teachers/Staff Replacment 
Justification 


MAC DESKTOPS


NEW / EXPANSION
# Requested for Lab Expansion 
Justification 
Location / Description 
# Requested for Classroom Expansion 
Justification 
Location / Description 
# Requested for Teachers/Staff Expansion 
Justification 

REPLACMENT
# Requested for Lab Replacement 
Justification 
Location / Description 
# Requested for Classroom Replacement 
Justification 
Location / Description 
# Requested for Teacher/Staff Replacement 
Justification 


MAC LAPTOPS


NEW / EXPANSION
# Requested for Cart Expansion 
Cart Needed?
Justification 
# Requested for Teachers/Staff Expansion 
Justification 

REPLACMENT
# Requested for Cart Replacement 
Justification 
# Requested for Teachers/Staff Replacment 
Justification