Space Request Form

Space Requests are reviewed by Executive Council and determined based upon compatibility with University Strategic Priorities, University Master Plan, Academic Planning, Program Requirements, as well as other considerations such as cost, locational needs and technological improvements.

Department / Unit Requesting Space:

Contact Person:

Contact's Phone Number:

Contact's Email Address:

Date Space is Needed:

mm/dd/yyyy

Describe the Importance of the Space:

Describe how your request for space is important and how it is tied to the University's strategic priorities.

This Request if for:

(Check all that apply)

Duration Space will be used for this purpose:

Long Term (More than 2 years)

Short Term (Less than 2 years)

Interim

Modification of Space

Space will be used for:

(Check all that apply)

Preferred Location of Space

Building:

Adjacency Relationships:

Room Number(s):

Currently Assigned Occupant / Department:

External Funding Related Requests

If for an externally funded project, what is the duration of the funded project?

From:

mm/dd/yyyy

To:

mm/dd/yyyy

Is Funding Available Now?

Yes

Renovation / New Construction Funding Source:

Specific Facility / Technical Requirements:

(e.g. electrical panel, fume hood, etc.)

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