FGCU Form

Customer Information

Your Name*

First Name

Last Name

Email*

FGCU Eagle Access ID (Email Address)

Phone*

Please provide the best contact number to reach you.

Software*

Name of the software you are requesting.

Software Category

Business Digital Media Engineering Mathematics Natural Science Productivity

Other:

If described in in one or two words, what do you use this software for?

Version*

Exact version of the software you are requesting.

Software Vendor Name*

Name of the vendor that provides the software.

Link to the vendor's website*

Link to the vendor's website for the software you are requesting.

Is this new software or an update for an existing piece of software?*

Reason for update*

E.g. (Version 2.0 has features that are not present in the current version.)

Is the software free or purchased?*

Provide a link to the software vendor's Terms & Conditions*

Is the software hosted/cloud-based?*

Attach the Approved HECVAT

No File Chosen

File uploads may not work on some mobile devices.

Department Licensing Contact Name*

First Name

Last Name

Department Licensing Contact Email*

Type of License*

Location of Installation*

What is the name of the computer(s) where you would like the software installed?*

E.g. (FGCU-L-123456 or AAAA123456)

Building and Room Number(s)*

Please be specific.

Is the device Windows or Mac?*

Is the device a laptop or desktop?*