I. REQUESTOR INFORMATION Date:
Name: Email:
School/unit:
Phone Number: FAX Number:
II. THE REQUEST
a. Space Needs (by type):
b. Location (area of campus, building, rooms, etc):
c. Time Period (Length of time space is needed):
Start Date:
End Date:
d. Provide a brief description of the need for the requested space and how it relates to the school/unit's mission:
(existing problems, space shortages, etc)
e. Provide a brief description of how the space will be used:
(Programs to be located in the space, number of faculty, staff and students to be accommodated, etc)
f. Can space within the school/unit be reallocated to meet this need? Why/why not?
g. Are renovations or alterations to the space anticipated? If so, please describe.
III. FUNDING
Please describe the funding available for this project and cite the fund source:
a. renovations/alterations:
b. Incremental operating expenses:
IV. SIGNATURE OF DEAN/VICE PRESIDENT:
V.
REVIEWS (To be completed by Office ofCapital Budget and Planning)
Space Use Advisory Committee Date:
Vice President, A & F Date:
President Date:
VI. APPROVAL (To be completed by Office of Capital Budget and Planning)
Date:
Solution:
VII.
NOTES:
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