Test Lead/Contact*:

Campus*:

- Select Campus - Bakersfield Channel Islands Chico Dominguez Hills East Bay Fresno Fullerton Humboldt Long Beach Los Angeles Maritime Academy Monterey Bay Northridge Pomona Sacramento San Bernardino San Diego San Francisco San Jose San Luis Obispo San Marcos Sonoma Stanislaus Chancellor's Office West Ed Vendor

Contact Phone Number*:

Email*:

Please indicate any additional people participating in the testing:

Please provide three potential dates for testing (refer to the calendar)*:

Option 1

Option 2

Option 3

Please fill in the expected duration of testing*: - Select Duration - 1 Day 2 Days 3 Days 4 Days More than 4 Days

Please indicate the nature of the testing*:

- Select Nature - Network - Security Network - Route/Switch Network - Wireless Network - Border Router Network - NMS Other

Other:

Please describe the reason for the test*:

- Select Reason - Troubleshooting Testing new version of software Training Proof of concept Vendor Demo Other

Other:

Please describe the method of testing*:

- Select Method - On-site Remote Access Other

Other:

Do you require a TEC engineer to perform the test?*: Yes No

Please indicate any additional equipment that will be needed for testing (refer to the equipment list):

Please provide a description of the test and outline the steps to be followed*: