IT Procurement Impact Assessment

This form is used to help assess the impact of new technology products or services that are procured by CI. Fields marked with a * are required.

Once you submit the form, it will be sent to Information Technology Services for review.

Please contact pmo@csuci.edu with any questions about this assessment.

Email Address*

Product Name*

Please describe the type and number of users for this project:*
	Less than 20 users	21 or more users
Students (current or prospective):	Less than 20 users	21 or more users
Employees (faculty or staff):	Less than 20 users	21 or more users
Visitors or General Public:	Less than 20 users	21 or more users
Other Users:	Less than 20 users	21 or more users

Please estimate how many STUDENTS will use this product

Please estimate how many EMPLOYEES will use this product

Select scope of product use*

1 department, organization or course

Multiple departments, organizations or courses

Campus-wide

Select the location of use*

Non-Public (office/restricted)

Public (Lab/Classroom/Public Space)

Both non-public and public

Will use of this product be required? Please choose the best answer below*

Required for academic or curricular purposes only

Required to maintain continuous employment in good standing only

Required for both academic/curricular and continuous employment purposes

Required for audit, policy, or legal compliance purposes

Not required for any of these purposes

How will users access the product/service?

Via a web site

Via software installed on desktop/laptop

Via a mobile app

Other

please describe