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
Return form to Claude Junkins, Office of Facilities Management, 118 Service Building junkins@maine.edu
Visit Page
Space Modification / Renovation Request