Space Planning Request Form

A space requests must be submitted via this form to the Space Planning Committee. Requests that come to the committee outside of this form will not be evaluated.

Name of person submitting this request*

Email of person submitting this request*

New space or Re-purpose of space*

An example of re-purposing of space would be changing the IT server room into a IT department break room. While the space would still be IT, the Space Planning Committee would need to evaluate if this change is the best use of the space.

New space needed

Re-purpose of existing departmental space

Describe space need*

Please describe what your space need or proposal is

New Occupant or Program Name*

What individual is this request pertaining to?

New Occupants current space*

Where is the requesting occupant currently located at?

Current Occupant or Use of Room being Requested*

Who is currently using the space that you are requesting?

Date Space is Needed*

When do you hope to take occupancy of the space you are requesting?

Duration of Need*

Do you need this space for a few weeks, months or long term? Please list dates unless you are requesting for long term use.

Unit Directors Name

Unit Directors Phone*

Unit Directors Email*

Justification for Request (Why?)*

Please be as descriptive as possible

Additional information for consideration

Description of use*

Room size and use, number of occupants, special features, etc.

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*

How will any changes be paid for?

Department Director*

Vice Chancellor over the department*

V.C. of Academic Affairs

V.C. of Finance & Administration

V.C. of Student Affairs

Chief of Staff

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