Fillable Space Request Form 2017 (University of Wyoming)

Fill Online, Printable, Fillable, Blank Space Request Form 2017 (University of Wyoming) Form

Use Fill to complete blank online UNIVERSITY OF WYOMING pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Space Request Form 2017 (University of Wyoming)

On average this form takes 17 minutes to complete

The Space Request Form 2017 (University of Wyoming) form is 3 pages long and contains:

  • 3 signatures
  • 10 check-boxes
  • 50 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of Wyoming

BROWSE UNIVERSITY OF WYOMING FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Space Request Form
INSTRUCTIONS
Prior to submitting a space request, vet requests with supervisors/unit heads to ensure agreement.
Applications will not be processed unless an inventory, including purpose and/or occupancy of all the spaces
currently being used by the department is complete and/or updated, and provided to the Office of Space
Management.
Complete the form and attach any additional information as necessary. If you have questions, need
assistance, or clarification, please call the Office of Space Management, Chris Maki 307.766.2648.
After the approval has been made, it will be the responsibility of the requesting party to obtain cost
estimates from UW Operations for conducting work and/or moving expenses. It will be the responsibility of
the requesting party to provide the funding for such expenses.
REQUESTOR INFORMATION
Name: Date:
Department: College/Division: ____________________
Email: Phone: ____________________________
SPACE NEED
Duration of Space Need:
Purpose:
Do you have a space in mind?
☐Temporary (less than 2 years)
☐ New Hire
Specific Building and Room
____ month(s)
☐ Instruction
Location: __________________________
☐Permanent
☐ Research/Grant
Ideal Building:______________________
Date Needed By: ___________
☐Other:__________
Spaces to be vacated: ________________
Space Type:
# of Each
Type of Position
# of Each
Dean or Director
Assoc. Dean or Director,
Department Head
Faculty, Academic Professional,
Staff
Visiting or Adjunct
Faculty
Support Staff: Clerical, Office &
Research
Graduate Assistants, Part-time
Faculty & Staff
Emeritus Faculty, when space
is available
JUSTIFICATION OF NEED
Please attach additional explanations on another sheet if needed.
1. What is being requested and why? Indicate whether this is being driven by a new program, a
research grant, inadequate space to provide current programming, and/or other reasons.
2. In what way is your current space inadequate for the identified need?
3. Have temporary arrangements been made for the requested purpose? If so, how?
4. Briefly describe the intended use for this space:
5. Are there any equipment requirements, special needs (electrical, ventilation, etc) or other special
circumstances (parking, access controls, etc) associated with the space request?
6. Does your request require adjacencies to other departments, organizations, programs, or functions?
7. Will the area require facility modification? Yes No
If yes, explain. Attach a copy of estimate if available.
8. How will you pay for the moving, and/or renovation costs of the requested space? If using grant
monies, confirm that this is an approved use of the money and maximum amount available.
Cost estimates from UW Operations RFE process attached: Yes No
9. If this request is denied, what will be the consequences?
10. If this space request is based on research grant that has been funded or is anticipating funding?
Yes No
Anticipated Funding: $__________ Date Anticipated: _______________
Funded: $__________ Date Received: _______________
Grant: $ __________ Date Received: _______________
11. Attach floor plans or sketches and supporting documents for this request. Floor plans are available
from the Space Management Office.
The Dean of Academic College or Department Head for all non-Academics, and Provost or Vice President
signature is required prior to sending to Space Management.
Upon completion of this form, all materials should be forwarded to the Space Manager for a due
diligence review. A thorough analysis of the request and supplemental material will be reviewed with
the requestor to discuss possible solutions. Final decisions will be made by the Space Allocation
Committee.
Submit completed and signed space requests to Chris Maki, Manager of Space Allocation, Bureau of
Mines 221, or CMaki1@uwyo.edu.
Department Head
Comments/
Exceptions:
This request has been reviewed and approved for submission by the Department Head.
Signature:
Print Name:
Date:
Dean
Comments/
Exceptions:
This request has been reviewed and approved for submission by the Dean.
Signature:
Print Name:
Date:
Provost or Vice President
Comments/
Exceptions:
This request has been reviewed and approved for submission by the Provost/Vice President.
This signature is not an approval, but an acknowledgement of the request.
Signature:
Print Name:
Date:
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Space Request Form 2017 (University of Wyoming)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document