Space Planning and Space Utilization Committee

SPACE PLANNING AND SPACE UTILIZATION COMMITTEE REQUEST FOR SPACE REALLOCATION

Requestor Date Campus Unit

LIST THE SPACE NEEDED (complete as appropriate for requested space) Use of Space: Size of the area: Seating Capacity: Lab station capacity: Other:

Features Required: (technology and/or equipment, ventilation, power, compressed air other special needs)

LOCATION FOR THE SPACE DESIRED Where on the Flagstaff campus: Area of campus: Building: Rationale for location requested: (Contiguous space relationships and functions)

First day of use Day/Month/Year Reallocation is intended to be: Permanent Temporary If temporary- duration of use : Months Years Vacating Existing Space: No Yes If yes, specify: Projected growth of program Students Faculty Staff Research personnel served: Students Faculty Staff

Are Renovations Needed No Yes Are Dollars Available No Yes Routing------

1. 2. Budget Authority/Dean Date Responsible Vice President Date

3. Received by SPSU Chair Initials Date Recommendation

4. Recommendation sent to administration SPSU Chair Date

Approved Denied For Cabinet

D:\Docs\2017-12-14\0bf10549ff4ea58ebd5e25912b66af87.doc SPACE PLANNING AND SPACE UTILIZATION COMMITTEE REQUEST FOR SPACE REALLOCATION

A justification based on the university strategic priorities, personal needs, projected growth of program and other relevant factors must accompany this form.

D:\Docs\2017-12-14\0bf10549ff4ea58ebd5e25912b66af87.doc