Project Name
Project Leader
Semester/Year
Title/Department
Email/Phone
Project Facilitators:
Name/Title
Email/Phone
Equipment Needs:
iPods B/W Photo Video
iTalks
iSights
Other
Number of students participating
Will you/your students need training?
Course Name/No. (if applicable)
Description of Project (attach additional page(s) if necessary):
Goals/Objectives for Project (attach additional page(s) if necessary):
[Departmental Use Only] Approved/Date