Bronco Space Request

Requesting department (required)

Name (required)

Phone (required)

Email (required)

Space will be used by: (required)

Questions	Yes	No
Faculty (required)	Yes	No
Prof. Staff (required)	Yes	No
Class. Staff (required)	Yes	No
RA/TA (required)	Yes	No
Students (required)	Yes	No
Other (required)	Yes	No

Space will be used for: (required)

Questions	Yes	No
Instruction (required)	Yes	No
Research (required)	Yes	No
Administration (required)	Yes	No
Storage (required)	Yes	No
Support (required)	Yes	No
Other (required)	Yes	No

Space already identified

Have you identified a suitable location for this new space that may be available? (required)

Yes

Describe using building and room number

Or attach drawing / floorplan / diagrams on the bottom of the form.

Will you be vacating your current space?

Yes

Will there need to be any remodeling or enhancements to accommodate your proposed use?

Yes

Briefly describe these changes

Or attach drawing / floorplan / diagrams on the bottom of the form.

Please briefly describe how the space will be used as well as why new/additional space is needed (required)

Or attach drawing / floorplan / diagrams on the bottom of the form.

Please describe any special requirements for this space, including the need for proximity to other facilities

Date needed

Length of time needed

Grant Fund Number

Do you have funding available to commit to relocation? (required)

Yes

Net Assignable Square Feet (NASF)

Provide the net assignable square feet (NASF) you are requesting in each category below

TOTAL Requested NASF

Office / Work Room

Research Lab

Teaching Lab

Storage

Other

Additional Notes:

Attach a file

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml, bz2, dmg, gz, jar, rar, sit, tar, zip.