Space Modification / Renovation Request
Requesting Department
Date
MM slash DD slash YYYY
Requestor
Phone
Email
*
A confirmation email will be sent to this address.
Building Information
Building Name
Room Number
Type of space needing renovation
Instruction
Research
Office
Storage
Other
Check all that apply
Other: Please describe
Date when renovations need to be complete
MM slash DD slash YYYY
Importance
Urgent
Whenever possible
Description of need (click below to upload a sketch if necessary
File
Max. file size: 3 MB.
What are the implications if renovation of space is not granted?
Will additional / new furnishings be needed?
Yes
No
If yes, itemize furnishings needed
Funding Information
What is the source of funds for the renovation?
Unit
College / Division
Grant Award
Funds are needed (must have prior approval)
Required Signatures
Department Chair
Date
Dean or Director
Date
Visit Page
Space Modification / Renovation Request