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I. CONTACT
INFORMATION:
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Requesting Department/Office:
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Date:
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Name of person requesting space:
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Phone:
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Email:
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II. DESCRIPTION
OF SPACE NEEDED:
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A.
Space will be used for:
(check all that apply)
Instruction/Classroom
Research/Labs
Administration/Office
Storage
Other
(Explain)
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B.
Space will be used by: (check
all that apply)
Faculty
Staff
Researcher/Staff
Student
Other
EXPLAIN
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-- PLEASE
COMPLETE EITHER SECTION III OR IV, THEN
PROCEED TO SECTIONS V, VI, VII, VIII --
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III. REQUEST FOR ADDITIONAL
SPACE :
(complete to the
best of your ability) |
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A.
Briefly describe
the function of your department.
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B.
State
the reason why additional space is being
requested and the proposed functional
use of the space.
Include the name of the office
that will be occupying the requested
space.
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C.
What
attempts have been made to locate space
within your current space allocation?
Have shared space possibilities
been explored?
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D.
Have you identified a suitable
location for this space that may be
available?
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E.
If yes, please describe using
building/room numbers and/or attach
floor plan or drawing (If no, proceed to
line I.)
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F.
Have you contacted the current holder
of space regarding this location?
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G.
If yes, does the
current holder support the concept?
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H.
If the space is occupied, identify the
current holder of the space.
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I.
Please describe any special requirements
for this space including the need for
proximity to other facilities.
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J. Is this program currently housed elsewhere?
If yes, identify the location.
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K.
Describe implications to your
program if this space request is not
approved.
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L.
Please provide additional information
that will better define this space
request. (Provide additional pages as
needed.)
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IV. REQUEST TO REASSIGN SPACE
WITHIN AN ACADEMIC OR ADMINISTRATIVE
UNIT: |
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A. Provide building/room numbers of
space being reassigned
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B. Describe current use:
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C. Describe proposed new use:
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D. Provide justification:
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V. REMODELING/RENOVATION OF
SPACE |
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A. Will there need to be any remodeling
and/or renovation to the space to
accommodate the proposed use?
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B. If yes, please describe the
remodeling and/or renovation:
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VI. PRODUCT INFORMATION: |
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A.
Date Needed:
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B. Length of
time needed:
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C.
Is funding available?
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If yes, what is funding source and amount?
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VII. DESCRIBE ASSIGNABLE SQUARE
FOOTAGE (ASF) FOR EACH
CATEGORY BELOW: |
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A. Instruction/Classroom
ASF:
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B. Research/Labs ASF:
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C. Administration/Office ASF:
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D. Storage ASF:
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E. Other ASF: (describe)
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VIII. SPACE REQUEST
AUTHORIZATION SIGNATURES FOR REQUESTING
DEPARTMENT: |
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IX.UNIVERSITY CAMPUS
PLANNING COORDINATION: |
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X. FACITILITES MANAGEMENT
COORDINATION: |
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XI. SPACE MANAGEMENT ADVISORY
COMMITTEE (SMAC) RECOMMENDATION: |
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Recommendation:
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XII. EXECUTIVE SPACE COUNCIL
ACTION (ESC): |
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Recommendation:
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