Space Request Form

Requestor Information

Name Required

Department Required

Campus Address with Campus Zip Required

Phone Required

E-mail Required

Building

Building Space is requested in (if applicable):

If building is unknown describe desired proximity:

Room numbers (if applicable):

Request Information

When is the space needed by? Required

Month

Day

Year

How long is the space needed? Required

Describe in detail the specific programmatic need and number and type of spaces and proposed use(s) of the requested space Required

Proposed Occupants of the requested space Required

Describe how this assignment would alter the current space assignments for your unit Required

Describe how this request fits in your Department/College Strategic Plan Required

Comments