3-ReUp Technology Purchases Approvals Form.pdf

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Attached to
Sole Source Public Review - Re-enrollment of Stop-Out Students
Solicitation number
WM2622
Issued by
Cook County, Illinois

About this file

This is a Technology Purchases Approvals Form submitted by City Colleges of Chicago (CCC) for the procurement of Re Up Education services to support re-enrollment of stop-out students. The form documents a new procurement request submitted by Keri Hornat, Business Manager, for a service designed to re-enroll students who have been out of school for one year or more and have not completed or graduated. The service will impact fewer than five users and requires approval from multiple CCC Office of Technology (OIT) departments before submission to PeopleSoft for pre-approvals processing.

The total cost for this technology purchase is $1,250,000. The procurement requires software development or coding, compliance with CCC security standards, data ownership confirmation, and may require access to CCC data and integration with CCC technologies. The form has been routed through the required approval chain including Business Enterprise Systems (Lonnie Washington), IT Service Delivery & Academic Technology (Greg Williams), Business Intelligence & Data Analytics (Ewa Bejnarowicz), Information Security (Benjamin Kent and Zarko Njakara), Infrastructure Services (Calvin Adenekan), and final approval from Chief Information Officer Jay Agarwal. The fund source is identified as "Other" in the dropdown menu, though specific budget details are not further detailed in the available documentation.

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Text version

Request for TECHNOLOGY Purchases

OIT Approvals Form

Instructions for the User Department:

PART I – GENERAL INFORMATION (required to start a Pre-Approvals From in PeopleSoft)

A. Business Manager’s Name

B. Business Manager’s Email

C. Business Manager’s Department

D. Procurement Type:

E. Name of the Product

F. Purpose of Product

H. Number of Users – Using it/Impacted

I. Cost $ -

J. Budget Source

K. Maintenance Cost

L. Integration Cost – If applicable

☐ May require access to CCC data

☐ May require interfacing or integrating with CCC technologies

☐ May require confirmation of compatibility with existing technology

☐ Requires data ownership confirmation (vendor may create data that will reside in their systems)

☐ Requires validation of hosting location

☐ Requires compliance with CCC security standards

☐ Requires software development or coding

This form must be completed for all planned technology purchase requests. Technology purchase include all technology goods and services (hardware, software, equipment, services).

ROUTING Instructions:

a. Complete Part I

b. Send form via DocuSign to:

i. The appropriate Executive Director, or Directors (if more than one area is impacted, you must route to all the appropriate approvers)**

ii. Final approver is always the Chief Information Officer

c. Attached the fully DocuSigned form to PeopleSoft Preapprovals submission.

G. Brief Business Justification

M. Information Security Considerations

Other:

PART II – APPROVALS (required to start a Pre-Approvals From in PeopleSoft)

☐ Business Enterprise Systems – Lonnie Washington

Approved:

Signaure

☐ Reject ☐ Need More Information

☐ IT Service Delivery & Academic Technology – Greg Williams

Approved:

Signaure

☐ Reject ☐ Need More Information

☐ Business Intelligence & Data Analytics - Ewa Bejnarowicz

Approved:

Signaure

☐ Reject ☐ Need More Information

☐ Information Security - Benjamin Kent

Approved:

Signaure

☐ Reject ☐ Need More Information

☐ Infrastructure Services - Calvin Adenekan

Approved:

Signaure

☐ Reject ☐ Need More Information

O. Final Office of Technology Approval

☐ Jay Agarwal (Chief Information Officer)

Approved:

Signaure

☐ Reject ☐ Need More Information

N. Executive Director Approval

** OIT Department Heads & Descriptions Calvin Adenekan – Executive Director of Infrastructure Services cadenekan@ccc.edu Ensures a reliable and scalable architecture that support 24/7 access, enabling seamless and uninterrupted services for all users.

Contact for: Issues with system reliability, outages, network problems or infrastructure questions

Ewa Bejnarowicz – Executive Director of Business Intelligence & Data Analytics ebejnarowicz@ccc.edu Streamlines access to institutional data, enabling informed decision-making and resource allocation to enhance student education and operational efficiency.

Contact for: Data access, reporting, analytics, dashboard or questions about institutional data

Greg Williams – Executive Director of IT Service Delivery & Academic Technology gwilliams240@ccc.edu Supports instructional technology for students, faculty, and staff, enhancing the learning experience through innovative and effective technological solutions.

Contact for: Problems with classroom technology, learning platforms, IT support for academic tools or any requests that do not fall under any other OIT department.

Lonnie Washington – Executive Director of Business Enterprise Systems lewashington@ccc.edu Supports business functions across CCC by providing robust and integrated enterprise (ERP) solutions that enhance administrative processes and improve overall institutional effectiveness.

Contact for: Issues with finance, HR, or student systems, CRM, and portal and integration services.

Benjamin Kent– Executive Director of Information Security bkent1@ccc.edu Minimizes risk by fostering a culture of cybersecurity awareness, providing proactive information security expertise, and maintaining a resilient and secure infrastructure.

Contact for: Security concerns, cybersecurity incidents, or questions about protecting data and systems.

Sheet1

2026-06-23T20:57:31+0000
Digitally verifiable PDF exported from www.docusign.com
Text4: 1250000
Dropdown3: [Other (use comments to explain)]
Dropdown2: [New Procurement ]
Other:
undefined_5: Off
Requires software development or coding:
undefined_4: On
Requires compliance with CCC security standards:
undefined_3: Off
Requires validation of hosting location:
Requires data ownership confirmation vendor may create data that will reside in their systems: On
May require confirmation of compatibility with existing technology: Off
undefined_2: On
May require interfacing or integrating with CCC technologies:
undefined: On
May require access to CCC data:
L Integration Cost If applicable:
K Maintenance Cost:
H Number of Users Using itImpacted: less than 5
G Brief Business Justification: Re Up Education will provide services that will help us re-enroll our stop population, which are students 1+ years out and have never completed/graduated.
F Purpose of Product: Re-enrollment of Stop-out students
E Name of the Product: Re Up Education
C Bus ness Manager s Department:
B Bus ness Manager s Emai: khornat@ccc.edu
A Bus ness Manager s Name: Keri Hornat
Need More Informat_6: Off
Reject_6: Off
S_6:
gnaure_6:
Jay Agarwal Chief Information Officer: Off
Need More Informat_5: Off
Reject_5: Off
S_5:
gnaure_5:
Infrastructure Services Calvin Adenekan: Off
Need More Informat_4: Off
Reject_4: Off
S_4:
gnaure_4:
Information Security Zarko Njakara: On
Need More Informat_3: Off
Reject_3: Off
S_3:
gnaure_3:
Need More Informat_2: Off
Business Intelligence Data Analytics Ewa Bejnarowicz: Off
Reject_2: Off
S_2:
gnaure_2:
IT Service Delivery Academic Technology Greg Williams: Off
Need More Informat: Off
Reject: Off
S:
gnaure:
Business Enterprise Systems Lonnie Washington: Off

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