11/2017 MRS
Step 1:
WSU Vancouver Space Allocation: SPACE REQUEST FORM
(When complete, see Step 2 for instructions on how to submit for approval.)
_________________________ _________________________ __________________________
Space Requested (if known) Occupant Name Current Space of Occupant
_________________________ ____________ ____________ __________________________
Current Occupant / Use of Room Date Space Needed Duraon of Need
_________________________ ____________ ____________ __________________________
Requesng Unit Unit Director’s Name Unit Director’s phone / email
______________________________ _____ __________________
Unit Director’s Signature Date
___ Tenure Track Faculty ___ Adjunct - FT/PT (%) _____ ___ Instructor - FT/PT (%) _____
___ AP / Civil Service - FT/PT (%) _____ ___ Other: _______________________ FT/PT (%) _____
Juscaon for Request (use page 2 if addional space is needed):
Step 2: ADMINISTRATIVE ACKNOWLEDGEMENT
(Signature indicates general support for request but does not mandate among competing needs.)
Academic Units submit Space Requests to the Vice Chancellor for Academic Affairs for review. Upon the VCAA’s
Endorsement, requests are forwarded to Vice Chancellor for Finance and Operations for review and endorsement.
All other units submit Space Requests directly to the Vice Chancellor for Finance and Operations for review and
endorsement. Following signature(s), requests will be routed to Capital Planning and Development for evaluation. The
Vice Chancellor for Finance and Operations makes final determination to approve space requests.
ACKNOWLEDGED BY:
______________________________
Vice Chancellor for Academic Affairs
___________
Date
___________
Date
__________________________________
Vice
Chancellor
for
Finance
& Operations
Step 3: CAPITAL PLANNING AND DEVELOPMENT: EVALUATION
Capital Planning and Development will evaluate Requests based on space availability, proximity, overall suitability for
intended use, and campus priorities. In circumstances involving complex requests and those that may impact another
unit, the Space Advisory Committee may be convened to provide guidance in evaluation and identifying alternatives.
FOR CPD USE :
Contact(s): _____________________________ Date: ________________
Recommendation: _____________________________________________________
Signed: ________________________________
Date: ________________
COMMENTS:
Step 4: FINAL DETERMINATION
Approved: ______________ Other: _______________________________________
Signed:_____________________________ Date:________________
11/2017 MRS
Additional Justification for Space Requested ____________ Requesting Unit
_____________ (Submit with request or complete during CPD evaluation)
Description of use (Room size and use, number of occupants, special features):
Alternatives considered (Including reallocation of existing spaces):
Outcomes if request is not implemented:
Changes to space required for occupancy (Remodeling, new furniture, etc.):
Financial resources for changes needed for implementation (How will changes be paid for):
Completed by: ____________________________ (Unit Representave) Date: _________________
____________________________ (CPD sta)
Juscaon for Request connued (From Step 1):
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