<p> SPACE PLANNING AND SPACE UTILIZATION COMMITTEE REQUEST FOR SPACE REALLOCATION</p><p>Requestor Date Campus Unit </p><p>LIST THE SPACE NEEDED (complete as appropriate for requested space) Use of Space: Size of the area: Seating Capacity: Lab station capacity: Other: </p><p>Features Required: (technology and/or equipment, ventilation, power, compressed air other special needs) </p><p>LOCATION FOR THE SPACE DESIRED Where on the Flagstaff campus: Area of campus: Building: Rationale for location requested: (Contiguous space relationships and functions) </p><p>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</p><p>Are Renovations Needed No Yes Are Dollars Available No Yes Routing------</p><p>1. 2. Budget Authority/Dean Date Responsible Vice President Date</p><p>3. Received by SPSU Chair Initials Date Recommendation </p><p>4. Recommendation sent to administration SPSU Chair Date</p><p>Approved Denied For Cabinet </p><p>D:\Docs\2017-12-14\0bf10549ff4ea58ebd5e25912b66af87.doc SPACE PLANNING AND SPACE UTILIZATION COMMITTEE REQUEST FOR SPACE REALLOCATION</p><p>A justification based on the university strategic priorities, personal needs, projected growth of program and other relevant factors must accompany this form.</p><p>D:\Docs\2017-12-14\0bf10549ff4ea58ebd5e25912b66af87.doc</p>