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REQUEST FOR ALLOCATION OF SPACE I. REQUESTOR INFORMATION Requestor: Title: Department: Location: Phone: Fax: Email: Date: II. DESCRIPTION OF SPACE REQUEST Space type/Space used by (Check type/use of space Required) No. of Rooms No. of People Estimated size of Space (Sq. Ft) Faculty/Staff Office [ ] Clerical Office [ ] Conference [ ] Teaching Lab [ ] Research Lab [ ] Support Space [ ] Student [ ] Other [ ] III. REQUEST JUSTIFICATION (Please provide the following backup documentation) Reason and rationale for request (need is being driven by a new program, research grant, inadequate space, new faculty, etc). List consequences if request is not granted. (Attach additional information if needed). When is the space needed? How long will the space be required? Building(s)/room(s) desired (list in order of preference): Will any existing space be vacated if this request is approved? If yes, please identify building(s) and list of rooms. Will this space need to be renovated if request is granted? If yes, are funds available for the renovation? Please identify funding source. …
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REQUEST FOR ALLOCATION OF SPACE I. REQUESTOR INFORMATION Requestor: Title: Department: Location: Phone: Fax: Email: Date: II. DESCRIPTION OF SPACE REQUEST Space type/Space used by (Check type/use of space Required) No. of Rooms No. of People Estimated size of Space (Sq. Ft) Faculty/Staff Office [ ] Clerical Office [ ] Conference [ ] Teaching Lab [ ] Research Lab [ ] Support Space [ ] Student [ ] Other [ ] III. REQUEST JUSTIFICATION (Please provide the following backup documentation) Reason and rationale for request (need is being driven by a new program, research grant, inadequate space, new faculty, etc). List consequences if request is not granted. (Attach additional information if needed). When is the space needed? How long will the space be required? Building(s)/room(s) desired (list in order of preference): Will any existing space be vacated if this request is approved? If yes, please identify building(s) and list of rooms. Will this space need to be renovated if request is granted? If yes, are funds available for the renovation? Please identify funding source. Scope of work and cost estimates must be requested through your Component Head and the CEA to Capitol Projects and/or Physical Plant, if necessary. If this space is for a grant, has the proposal been funded? If yes, please provide date and amount of award and the indirect costs approved for renovations. REQUEST FOR SPACE ALLOCATION IV. REVIEW AND APPROVALS (Please check off the appropriate approval status and sign and date) DEPARTMENT/UNIT HEAD SIGNATURE DATE Forward to Component Head – Recommendation Approved Return to requestor – Not Recommended Return to requestor – More Information Needed COMMENTS: COMPONENT HEAD SIGNATURE DATE Forward to Space Allocation Committee – Recommendation Approved Return to Dept. Head – Not Recommended Return to Dept. Head – More Information Needed COMMENTS: SPACE ALLOCATION COMMITTEE SIGNATURE DATE Forward to President – Recommendation Approved Return to Component Head –Not Recommended Return to Component Head – More Information Needed COMMENTS: PRESIDENT SIGNATURE DATE Return to Space Allocation Committee – Approved Return to Space Allocation Committee – Not Approved Return to Space Allocation Committee – More Information Needed COMMENTS: FORM DISTRIBUTION Requesting Department Component Head Capital Projects Physical Plant CEA 6/08 REQUEST FOR SPACE ALLOCATION