Space Change / Modification Request

Space Change / Modification Request

Hello and welcome to the CPP Space Change/Modification Request Form.

The purpose of this form is to provide the Office of University Capital Planning & Transportation with appropriate information needed for the initial evaluation of space requests. The provision of detailed and accurate information will greatly assist in expediting this request.

Please note that the approval to proceed with the analysis of your request does not imply any commitment for any space changes. Any requests that may involve funding implications will need to go through the Capital Request process first. Off-cycle requests that may involve funding implications will also need pre-approval before your request can be evaluated.

If you require assistance with this form, please contact:

Diana Kong

Space Management Analyst

FPM - University Capital Planning & Transportation

dykong@cpp.edu

- PLEASE NOTE -

The last day to submit your request is March 31, 2025 for space record updates to be reviewed/submitted to the Chancellor's Office for 2025 (Space record changes involving FDC will be updated when the project closes out). Any requests received after March 31, 2025 will be reviewed and updated for the next fiscal year.

Is this request related to the Campus Cleanup Initiative?

Does your request involve purging furniture / equipment?

Yes

STOP - Do not continue this form!

This form is for space change / modification requests not related to the Campus Cleanup Initiative only. Please go to the Campus Cleanup Initiative website for more information.

- Campus Cleanup Initiative -

https://www.cpp.edu/fpm/campus-cleanup.shtml

Does this request involve academic spaces?

Does your request involve academic spaces?

This includes instructional spaces, faculty offices, faculty administrative offices, etc.

Yes

Prior to filling out this form, have you contacted Academic Resources?

Select or enter value

Requester Contact Information

Name / Title*

Your Email*

Your Phone*

Phone

College/Division*

Select or enter value

*Requester Department*

Finance Dept ID*

Project Budget / Funding

Does your request require any funding?*

Select or enter value

Estimated Project Cost*

Funding Source*

Select or enter value

Other - External Funding Source*

Please provide information for the external funding source (i.e., grant, financial gift, etc.). Also indicate the funding source's name and requirements governing the use of these funds such as applicable use(s), lapsing dates, etc.

Project Information

Current Location - Where is your space located?

Building*

Use the dropdown list to select a building or enter a value.

Select or enter value

Room Number(s)*

Enter the room number(s) of the affected room(s). Separate the rooms with a comma.

College/Division*

What College/Division is assigned the space you are located?

Select or enter value

Department*

What Department currently occupies the space you are located in?

Is this request at the same location?*

Select or enter value

Preferred Location - Where are you requesting space?

Building*

Use the dropdown list to select a building or enter a value.

Select or enter value

Room Number(s)*

Enter the room number(s) of the affected room(s). Separate the rooms with a comma.

College/Division*

What College/Division currently occupies the space you are requesting?

Select or enter value

Department*

What Department currently occupies the space you are requesting?

Type of Space Change / Modification Request(s):

* C - Space Request - Type*

Select the one closest to your request.

Select or enter value

Intra-divisional Physical Change Request(s)*

(Check all boxes that apply)

Inter-divisional Physical Change Request(s)*

(Check all boxes that apply)

Space Swap

Relocation

Requests for additional dedicated space (unallocated space)

Change in Space Type/Classification of Space

Change in the Department or Organization Assigned to Space

Change in the Use of Space (Renovation)

Change in the Size of Space (Renovation)

Space Reassignment - SFDB:*

You selected: A - Space Reassignment (SFDB Recordkeeping only)

Please explain what changes need to be updated.

Project Description*

Please provide a brief description of this request including why this change is required and how your unit will be affected if the request is not approved.

Project Timeline*

Does this project have a specific completion date and why is that date important?

Strategic Plan Goal*

Use the dropdown list to enter the strategic goal that best aligns with this request.

Select

Strategic Plan Goal Alignment and Rationale*

How is this project consistent with or help implement the University's Strategic Initiatives?

Department / College Efforts*

What efforts has the department/college made to reclaim under-utilized space to solve this need? (The space may be evaluated to confirm needs or identify alternatives to this request.)

Space Change Impacts*

How will this request change the space type, space use, and/or alter the space's number of workstations within Academic Affairs/another division? Has this proposed change been coordinated with Academic Affairs/another division? Please Explain.

For non-instructional spaces only:

Occupants

Please list the FTE's and headcount for all faculty, staff, and/or graduate students who will be using the requested space, along with the occupant's positions/titles, type of workspace needed, quantity, and submit a separate organizational chart if available.

Example -

Program Director, Office, 1

Student Assistant, Cubicle Workstations, 5

Coordination

Current Use at Requested Location*

How is the requested space currently being used and how does your department/area plan to use it?

Plans for Current Space*

Does your department/area plan to occupy or vacate the current space after the relocation to the requested space? Please explain.

Requested Space(s) Occupant Relocation*

Does the proposed space request require the relocation of an existing occupant or use to another location?

Yes - The space is currently occupied by another party.

No - The space is already vacated.

Vacating Party Approval

If the request requires the relocation of an existing occupant or use to another location, please obtain the estimated move-out date and approvals from the vacating party. You may be required to establish funding resources for the vacating party's moving expenses.

Estimated Move-out Date*

Enter the Vacating Party's information below. Your request will be routed for signatures to the appropriate party.

Chair/Director - Vacating Party (Name)*

Chair/Director - Vacating Party (Email)*

Dean/Associate Dean or VP - Vacating Party (Name)*

Dean/Associate Dean or VP - Vacating Party (Email)*

Approvals

Enter the information below for your division/department. Your request will be routed for signatures to the appropriate party.

Chair / Director - RQ Approval (Name)*

Chair / Director - RQ Approval (Email)*

NOTE - If you represent Academic Resources, please type N/A if the request does not require a Dean/Associate Dean or VP's approval. Otherwise, please enter the necessary contact information for approval.

Dean/Associate Dean or VP - RQ Approval (Name)*

Dean/Associate Dean or VP - RQ Approval (Email)*

File Upload

Please upload any files you think may be helpful in evaluating this request.

Drag and drop files here or

Submission

This submission indicates agreement that this space request should be reviewed. Approval to proceed with the analysis of this request does not imply any commitment for the assignment of space.

STOP! - Contact Academic Resources

Since you have indicated this request involves academic spaces, Academic Resources needs to authorize your request before you can submit the Space Change / Modification Request form.

Please contact Academic Resources:

Lisa M. Rotunni

(Executive Director of Academic Resources)

lmrotunni@cpp.edu

Andrew M. Naranjo

(Academic Affairs Capital Projects Specialist)

amnaranjo@cpp.edu

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