Space Request Form: Non-Office Space

College/Division:

Department/Unit

Chair/division head name:

Requestor name:

Contact phone:

Contact email:

Type of space needed - Size:

Type of space needed - Special Features:

Type of space needed - Technology:

Purpose:

Nature of activity:

Number of users/occupants:

If temporary, indicate start/end dates:

How does this request relate to the University's Strategic Priorities?

How does this request relate to the Unit's Strategic Plan?

Indicate other units/programs or functions that should be in proximity to the requested space and why?

Indicate why current space assigned to the requesting unit cannot accomodate the request:

Provide any additional information related to this request: