Software Request Form

Requester Information

Name: [REQUIRED]

MHPCC UserID: [REQUIRED]

Email Address: [REQUIRED]

Telephone: [REQUIRED]

Project: [REQUIRED]

Company/Organization: [REQUIRED]

Your Computational Technical Area:

Software Information

Requested for MHPCC system (check all that apply):

Macintosh (Mac OSX)
PC (Windows, Linux, UNIX)
Other:

MHPCC inventory tag (e.g. M002428), hostname, or N/A if unknown: [REQUIRED]

Software Name: [REQUIRED]

Software Version: [REQUIRED]

Description/Functionalities:

Vendor Name:

Vendor Telephone:

Vendor Address/Public Domain Archive Site:

Is the Software Vendor based outside of the US? [REQUIRED]
Yes No Unknown

Is the Software Open Source? [REQUIRED]
Yes No Unknown

Do you need this software by a certain date? [REQUIRED]

Have you checked our Software Web page to see if we have a comparable application available?

Why do you prefer this particular software? Please list reasons. [REQUIRED]

Software Justification [REQUIRED]
*Please be extremely detailed. The justification must answer the following questions, at a minimum.

a. What is the mission/business need for this software
b. What specific task will the software accomplish?
c. Can the mission/business need for this software be achieved by using software that is already approved within MHPCC?
d. Please list all other reasons.

Is this software package Export Controlled? [REQUIRED]
Yes No

Is the distribution of this software restricted under the International Traffic in Arms (ITAR) regulations? [REQUIRED]
Yes No