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SPACE ALLOCATION/CHANGE FORM
REQUEST FORM
INSTRUCTIONS:
Use this form to request department or program space assignments, reassignment, alterations, or changes for
review.
Recommendation and approval. Completed forms, along with attached justification, must be approved by your
Vice President prior to submission to Facilities Maintenance & Construction.
Date: _____________________________________
Requesting Unit/Department: _________________________________________________________________
Requestor’s Name: __________________________________________________________________________
Campus Phone: _______________________________Campus E-Mail: _________________________________
□ Request for New Space
□ Request for Change in Space Type
□ Alteration of Current Space
□ Reassignment of Current Space (Moves)
In your justification for the request for space, please address the following:
PROGRAM INFORMATION
a. Describe the program that will use the space and why the space is needed.
b. Is this a new or existing program?
c. Has the new program or expansion been approved?
d. How does the program relate to the University’s strategic, academic and/or master plans?
SPACE REQUIREMENTS
a. What type of space are you requesting?
b. If requesting instructional space, what size do you have the greatest need for?
c. When do you need the space?
d. How many faculty/staff/students will be assigned? Full-time, part-time, students, etc.
e. Are there special requirements of the new space? (e.g., location, adjacencies, etc.)
f. Describe briefly why your existing space is inadequate
g. What other programs might be affected by this space change?
FUNDING SOURCE
□ University Funded: ________________________________
□ Non-State: _______________________________________
□ Capital Outlay: ____________________________________
□ Other Funding: ____________________________________
□ Cost Recovery: __________________________
