Space Assignment / Reassignment Request

Space Assignment/Reassignment Request

  • Select date MM slash DD slash YYYY
  • RequestorPhone 
  • A confirmation email will be sent to this address.
    Check all that apply
  • MM slash DD slash YYYY
  • Request to Change Function of Space:

    *If renovations are required, a Space Modification/Renovation Request Form must also be submitted
  • Building Name:Room Number(s): 
  • Current use of Space:Proposed Use of Space: 
  • Justification for Change: 
  • Request to Release/Retain Space:

  • Building Name:Room Number(s): 
  • Current use of Space: 
  • Signatures:

  • Department ChairDate 
  • Dean or DirectorDate