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Requestor
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Person submitting this request. (You can type full names or maine.edu email addresses. The system should provide options for auto-complete.) |
Required |
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University Sponsor
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The person whose course, program or other activity needs the technology. This may be the person filling out this form or someone else on whose behalf this form is being filled out.
(You can type full names or maine.edu email addresses. The system should provide options for auto-complete.)
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Required
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Sponsor Affiliation
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Choose from Faculty, Staff, Student, External (non-university), or General Public
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Required
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Acquisition Type
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Choose one from New Purchase or Acquisition, Renewal, or Other
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Required
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Due Date
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When is the technology needed by or when is renewal required by?
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Optional
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Cost
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What is the approximate dollar cost of this technology or service, and over what time period? For example, $1,000 per year |
Optional |
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Expense Approval
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If there is a cost to the university, has the budget manager pre-approved the expense?
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Required
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Contract
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Are you required to sign a quote, contract, or agreement with the supplier or manufacturer? (Signed quotes ARE contracts.)
Choose from Yes, No, I'm not sure
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Optional
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Was this Product selected as part of an RFP?
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Is this request related to an ACTIVE RFP or Sealed Bid Procurement Activity? if unsure, select "no". (Yes/No)
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Optional
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Technology/Product Name
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As provided by the vendor. You may submit multiple-related products for review. Please separate their names with commas. |
Required
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Technology/Product Model or Version
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If there are different versions
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Optional
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Technology or Product Description
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What does this product do? How is it used? What purpose does it serve?
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Required
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Technology/Product Website
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Please enter the address of the website (can be copied from the address bar of your web browser while visiting their site). |
Optional
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Technology Description
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Select all that describe the technology being acquired. See Technology Types Explained (Glossary) for further assistance.
- Software for installation on a computer
- Web-based service or application (accessed with a web-browser)
- Cloud-based
- Mobile app
- Digital materials (includes or creates video, audio, documents, books, forms)
- DEVELOPMENT services for a website or application
- Training services
- Laboratory technology
- Streaming Video/Audio
- End-user computer or digital device
- An on-premise server installed in a university location
- Other hardware (not an end-user device) connected to the University network
- Highly-visual activities such as CAD, GIS, data visualization, Image manipulation, etc.
- Web site or information display for presenting information to students or the public
- None of the above
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Required |
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Device Type
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Please check ALL the device types that may be used with this technology.
- Windows Computer
- Mac Computer
- Mobile Device - Apple
- Mobile Device - Android
- Other
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Optional |
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In Use?
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To your knowledge, is this, or a similar, technology already in use in the University? Choose from:
- Yes, this or a similar product is in use
- No
- I'm not sure
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Required
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Use Locations
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Where will the technology be used? (check all that apply)
- UM
- UMA
- UMF
- UMFK
- UMM
- UMPI
- USM
- MAINE LAW
- University Services/Governance
- System wide
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Required
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Intended Users
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What types of people will use this technology? Check all that apply
- Students
- Faculty
- Non-Faculty Employees
- General Public
- Not Applicable
- Not sure
- Other
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Required
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Student Use
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If the technology is intended to be used by students (specific courses, programs, activities, etc.) please describe how, where and when. Uses by student-employees should NOT be included here. |
Optional
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Number of users?
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Estimate of the number of persons who will DIRECTLY interact with the technology or materials it creates. Choose from:
- 1 to 10 users
- 11 to 50 users
- 51 to 200 users
- 200+ users
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Required
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Data Reliance
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Does this technology or service rely on the DATA STORED IN or TRANSFERRED FROM/TO, another UMS application, such as MaineStreet, or Salesforce? For example, does this technology need to import student, course, or employee information from MaineStreet? Choose from Yes, No, or Maybe
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Optional
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What type of data will be accessed, stored on or processed by this technology, system, service or contractor?
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Select Yes, No, or I'm Not Sure for each of the following types of data:
- Student Data
- Financial Aid Data
- Health Data
- Human Subject Research Data
- HR related Data
- Social Security, State ID, and/or Driver's License
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Required
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Logins - Students
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Indicate whether they will need to login to the system or technology and if so, using what type of credentials. Select one from the following:
- UMS ID and UMS password
- ID and password provided by the system
- Students use this but don't login
- Students don't use this
- I'm not sure
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Required
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Logins - Employees
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Indicate whether they will need to login to the system or technology and if so, using what type of credentials. Select one from the following:
- UMS ID and UMS password
- ID and password provided by the system
- Students use this but don't login
- Students don't use this
- I'm not sure
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Required
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Logins - Others
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Indicate whether they will need to login to the system or technology and if so, using what type of credentials. Select one from the following:
- UMS ID and UMS password
- ID and password provided by the system
- Students use this but don't login
- Students don't use this
- I'm not sure
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Required
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Human Interface
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Do people interact directly with the technology, or materials created using the technology, such as by using a computer, web-browser, mobile device, television, etc? Interaction may include operating an application/website/software or consuming the output of a technology, such as streaming video, PDF files, forms, emails, etc.
Choose from Yes, No, I'm not sure
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Required
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Known Accessibility Barriers
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List known accessibility barriers present in the technology for persons with any type of disability, e.g., Vision, Hearing, Mobility, Cognitive, etc.
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Optional
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ACR/VPAT Status
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For technologies that people will interact with, you should request an ACR (accessibility conformance report) such as a VPAT, from the product's sales or support areas, or their website.
Information about VPATs, including acceptable formats and versions. Technologies that do not have an ACR may require you to complete an Equally Effective Alternate Access Plan.
Select one of the following:
- Requested ACR/VPAT
- Received or Found ACR/VPAT
- I understand that I need to request an ACR for this review
- Not Applicable
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Required
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Attachment (VPAT)
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If you received or found an Accessibility Conformance Report (VPAT) please attach it here. You may attach multiple files by selecting them at the same time with Ctrl-Click.
If you cannot find an acceptable VPAT on the manufacturer's website you should ask for it from their sales or support areas. If the manufacturer requires you to sign a "non-disclosure agreement" in order to obtain the report, please forward their request to: AccessibleIT@maine.edu.
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Optional
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Additional Information
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Use this space to provide any additional information that may help with the review of this technology.
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Optional
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Feedback
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We are working to make this experience as seamless as possible and appreciate any feedback you have that will help us improve the experience.
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Optional
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