Non-Office Space Request Form

Section I - Contact Information: 

Chair/Division Head Name:*
Requestor Name:*
Campus Address:*
Contact Email:*
Contact Phone:*

Section II - Details of Space Request:

Temporary or Permanent *  
Number of Users/Occupants:*
Type of space needed * Wet Lab or Dry Lab
Type of Space Needed - Size:*
Type of Space Needed - Special Features:*
Nature of Activity:*
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 accommodate the request:*
Provide any additional information related to this request:*