Fillable LSU Space Request2 (Louisiana State University)

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LSU Space Request2 (Louisiana State University)

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The LSU Space Request2 (Louisiana State University) form is 5 pages long and contains:

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  • 11 check-boxes
  • 27 other fields

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File type: PDF

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Request for Allocation of Space
The requester is to complete this form and submit it for review and endorsement to the Department
Chair/Director and then to the Dean or Vice President. Once all parties have approved the request,
it is then submitted to Senior Vice Provost Jane Cassidy at jcassid@lsu.edu. If the Senior Vice
Provost endorses the request, the proposal is forwarded to the Office of Planning, Design &
Construction (PDC) for review and recommendations. PDC reviews and recommends action which
is submitted back to the Senior Vice Provost for final approval. Dean/Vice President is then notified
of the resolution.
Requester Information
Date
Name Title
Unit/Department Campus Address
Phone Number Email Address
Space Request
Proposal
Provide a brief description of the type and amount of space being requested and how it will
benefit the mission of your unit.
What is the projected number of occupants that need additional space
Faculty/Staff Students Non-University Personnel
When is space is needed?
Source of funds to support this request
(9 digit account number)
Include a complete list of all spaces being requested along with an in-depth explanation of the
intended use for the spaces. List any special requirements needed for this space such as
location and access adjacencies to other university units and or equipment.
Request Endorsement
Justification
Explain why this request cannot be accommodated within current space allocations.
Identify all space to be vacated by this request.
Is there a specific space being requested?
No- proceed to approval section
Yes- proceed to the next question
Is the space you are requesting used by another unit? Identify this unit and describe the current
use of this space.
How will the utilization of the proposed space impact the operational costs of the requesting
unit? Both increased costs and cost savings must be addressed.
Identify the level of remodeling anticipated to to make the space functional for the stated purpose.
Check all that apply
Clean Up Paint Flooring
Minor Renovations Major Renovations
Elaborate on renovations, if necessary:
Department Approval
By checking this box you are endorsing the above space request.
Yes, I Department Chair/Director approve this request
Department Chair/Director Name
Title
Yes, I Dean/Vice President of this department approve this request
Dean/ Vice President Name
Title
Academic Affairs Approval (For internal use only)
Yes, this request will be sent to PDC for review and recommendations
Request Number:
No, this request is not approved and will not be sent to PDC for review and
recommendations
Reason:
Final Resolution:
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LSU Space Request2 (Louisiana State University)

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Completed 25 July 2020

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