Page 1 of 2
VSU OSP&R Facilities Project Planning Form
VIRGINIA STATE UNIVERSITY
DATE:
PROJECT NAME:
Project No.:
From Capital Outlay
Project Sponsor:
Requestor/Sponsor Name
Department
Phone Number
Project Description: Describe project scope of work, attach any drawings:
Project Priority:
High Priority Justification:
Current Project Status:
Funding and Budget: Attach Documentation
Construction/Equip.
Contingency
Total
Requested Completion Date:
Design: calendar days
Construction: calendar days
Click here to download a Word version
Choose Low, Medium, or High
$ 0
$ 0
$ 0
$ 0
Page 2 of 2
Contracted Services: Y N State
Approval
Y N
Date: Comments:
Firm Name Rep.
N/A
Supplier, Other
Project Initiation Approvals
Comments:
Requestor Signature Date
Comments: Approved Disapproved
circle one
Dean/Department Head Signature Date
Comments: Approved Disapproved circle one
____________________________________________________ _____________
Director, Capital Outlay Signature Date
Comments: Approved Disapproved
circle one
____________________________________________________ _____________
Director, Facilities Management Signature Date
Comments: Approved Disapproved
circle one
____________________________________________________ _____________
Vice President, Administration and Finance Signature Date
Choose Approved or Disapproved
Choose Approved or Disapproved
Choose Approved or Disapproved
Choose Approved or Disapproved