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Institution Name
 
 
 
Name:
   
 
 
 
Title:
   
 
 
 
E-mail Address
   
 
 
 
Telephone Number:
   
 
 
 
Does your institution have a need for this functionality?
 
Yes
 
No
 
 
 
How does your institution currently meet this need?
 
Baseline Functionality
 
Local Customization
 
Manual Process
 
Do Not Use
 
 
 
Would you be willing to share information regarding your local customization with ITS?
 
Yes
 
No
 
Not Applicable
 
 
 
Are you aware of current baseline functionality that exists to meet this need that has not been identified in this white paper?
 
Yes
 
No