UWF Space Request Form - 2014
(Please keep in mind that it can take,
on average 2 to 6 mths to identify
new space).
This request is for:
(check all that apply)
Date:
Dept. / Unit Requesting Space:
Contact Person:
Phone:
Email:
Describe how your request for
space is important and how it
is tied to the University
strategic priorities:
No. of
Rooms:
Duration:
Long Term
(more than 2 yrs)
Short Term
(1- 2 years)
Interim
months
Additional
Space
Reassignment of
Space
Modification of
Space
Other
New
Construction
No. of
People:
Net
Square
Feet:
Totals:
Describe how this space
will be used and how often
Space will be used for:
(check all that apply)
Instruction
Administration
Research
Storage
Support
Other
Space Type
UWF Space Management
Space Request Form
Facilities Planning, Maintenance & Construction
Building 90
University of West Florida
For more information, contact the UWF Space Manager at 474-3427
Personnel (please list below)
(select one)
Name
FTE
Are special accommodations or equipment
requirements needed?
Space will be used by:
(check all that apply)
Faculty
Administrator
Other
Staff
Students
Title
New / Existing
Yes
No
If yes, please briefly describe:
Preferred location of space:
Adjacency Relationships:
Room # (s):
Building
Current assigned occupant/department:
No
Yes
Will existing space be vacated if this request is approved?
If yes, spaces to be vacated:
Room # (s):
Room # (s):
UWF Space Request Form - 2014
Explain why the space
being requested cannot
be accommodated in
space currently
available to the
department.
Room # (s):
Building
Building
Building
Approval Signatures Required for further consideration:
UNIVERSITY SPACE UTILIZATION COMMITTEE USE ONLY
University Space Utilization Committee (USUC) Action
Recommend
Date:_______________
Date:_______________
Not Recommend
Date:_______________
Returned to Administrator for more information
Date:_______________
Forwarded to President/Vice President with endorsement
Vice President
Approved
Date:_______________
Date:_______________
Not Approved
Date:_______________
Return to USUC chair for more information
UWF Space Request Form - 2014
Date:_______________
Date:_______________
Date:_______________
Return to USUC chair for more information
Not Approved
Approved
President (required for multiple division space requests)
Date:_______________
Date:_______________
Space changes reported to Facilities Planning Committee
Completed request
Space Manager
Date:_______________
Requires Project Manager/Project Number
(forwarded to Project Management)
Approved
Not Approved
Approved
Not Approved
Signature of Chair or Director: ______________________________
(signature indicates accuracy of information and concurrence with request)
Signature of Dean : __________________________________
(signature required for requests from Academic Departments)
Assigned Number:_______________