FACILITIES SPACE CHANGES REPORTING FORM
Facilities Space Management This form is for the approval & notification of CHANGES in facilities space.
Kirk Paul However, it does not include funding approval for the renovation or
713-313-7790 alteration of space. Please follow the usual process to secure funding for
for your space change.
Department & Contact Information
Requesting Dept: Contact Name: Phone: Email:
Building: Room: Current Bldg. Liaison:
Note: For a series of rooms or for a whole building, please attach a room number listing with associated changes. Put “attachment” in the room field.
1 Liaison Changed From: To:
2 Department Changed From: To:
3 Room Changed From: To:
4 Add/Del Explain:
PLEASE INCLUDE DRAWING OR FLOOR PLAN WITH NOTES FOR ALL CHANGES. (Room number to be assigned by the Campus Space Planner.)
5 Space Use Space use describes the primary activity of a room such as classroom, office, conference room, storage, laboratory, assembly, etc. Space use cannot
be prorated because there is only one predominant designed use for a room.
Describe use of space:
6 CIP This is the classification of instructional program (CIP) or academic discipline that the space is used for. This would include general use, biological
sciences, visual & performing arts, etc. Because academic disciplines sometimes share space, rooms can be prorated up to 3 times. Must total 100%.
Instructional Program 1: %
Instructional Program 2: %
Instructional Program 3: %
The function is often determined by the program’s funding and by whom the program serves. Examples are instructional, research, public service, academic
support, student services, etc. Rooms can serve multiple programs and therefore space can be prorated up to 3 times. Must total 100%.
Program Function 1: %
Program Function 2: %
Program Function 3: %
8 Capacity Student capacity changes in a classroom or class lab require the approval of the Dept. Chair, Dean/Assoc. VP, and Provost or Assoc. Provost.
Changed From: To:
9 Dimensions Explain:
PLEASE INCLUDE DRAWING OR FLOOR PLAN WITH NOTES FOR ALL CHANGES. (Measurements will be taken by the Facilities Planning Dept.)
10 Other Explain:
11 Room Features See page 2 for an alphabetical listing of room features.
Page 1 of 2