4800 East Huron River Drive, Ann Arbor, Michigan 48105-4800 • 734.973.3300 • wccnet.edu
Request for Office Assignment
PLEASE READ CAREFULLY. ALL INFORMATION IS REQUIRED. INCOMPLETE FORMS WILL BE RETURNED.
FURNITURE: Standard furnishings include a desk, a chair and a filing cabinet. Special requests may be honored as inventory allows. You
may forward any special requests via the online work request system. For instructions on submitting an online work request, please
contact the Work Control Center (x8777).
PHON
E/PC: Please contact the Information Technologies Department (x3456).
KEYS/FOB: Please contact the Office of Campus Safety & Security (x3502).
Approval
Supervisor:
Date:
SUBMIT COMPLETED FORM TO PENNY HILL (PO 113) FOR APPROVAL
FOR FACULTY OFFICE REQUESTS, SUBMIT COMPLETED FORM TO VP
OF INSTRUCTION (SC 243)
APPROVED DENIED
Comments
Signed By:
Date:
Contact Name: ___________________________________________________________
Contact Number:_____________________
Job Title:_________________________________________________________________
Employee ID:________________________
Dept./Division:____________________________________________________________
Date of Hire:_________________________
Employment Status
Part-Time Full-Time: Regular Temporary
New Employee
Yes No
Employment Classification
Administrative/Independent Custodial/Maintenance Faculty (Professional, Classified, Clinical) OP/T
Office Requested
Building:____________________________
Room:_______________________________
Justification
New Employee Office Vacancy Construction/Renovation Other:____________________________________
Created 10/30/2019