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Facilities Management & Campus Services Division
Space Request and Classification Change FormSection II of this form is for requesting space classification changes. Section III is for requesting new space. Upon completion, email the form to batchets@udmercy.edu. A representative from Facilities Management & Campus Services will be in contact with you shortly to collect the specifics of the data changes and will update the space management database as required. FORMCHECKBOX Space Change Fill ou t S e c t i o n I & I I F O R M C H E C K B O X N e w S p a c e R e q u e s t F i l l o u t S e c t i o n s I & I I I S e c t i o n I - R E Q U E S T O R I N F O R M A T I O N
N A M E :
F O R M T E X T
C O L L E G E / D E P A R T M E N T :
F O R M T E X T
P H O N E : F O R M T E X T
F A X : F O R M T E X T
E M A I L : F O R M T E X T
D A T E : F O R M T E X T S e c t i o n I I - S P A C E C L A S S I F I C A T I O N C H A N G E P l e a s e l i s t a l l b u i l d i n g s t h a t a r e a f f e c t e d b y t h i s u p d a t e :
1 . F O R M T E X T
3 . F O R M T E X T
2 . F O R M T E X T
4 . F O R M T E X T
Does this update affect multiple rooms?
FORMCHECKBOX YES FORMCHECKBOX NOPlease check all that apply: FORMCHECKBOX Change in function FORMCHECKBOX Discrepancies in current space data/reports FORMCHECKBOX Reassignments across Departments FORMCHECKBOX Vacate/Departure of space FORMCHECKBOX Reassignments across Colleges/Schools FORMCHECKBOX Other FORMTEXT I s t h e D e a n / D i r e c t o r / V P o f t h e C o l l e g e / S c h o o l / A d m i n i s t r a t i v e D e p a r t m e n t a w a r e o f t h e s e c h a n g e s ?
F O R M C H E C K B O X Y E S F O R M C H E C K B O X N O S e c t i o n I I I - N E W S P A C E R E Q U E S T I N F O R M A T I O N D e s c r i p t i o n o f S p a c e R e q u e s t 1 . S p a c e w i l l b e u s ed for: FORMCHECKBOX Instruction FORMCHECKBOX Research FORMCHECKBOX Administration FORMCHECKBOX Storage FORMCHECKBOX Support FORMCHECKBOX Other2. Space will be used by: FORMCHECKBOX Faculty FORMCHECKBOX Staff FORMCHECKBOX Student FORMCHECKBOX Other3. Have you located a suitable location for this new space that may be available? FORMCHECKBOX Yes FORMCHECKBOX NoIf NO, please proceed to line 8.
If Y E S , p l e a s e d e s c r i b e , u s i n g b u i l d i n g / r o o m n u m b e r s o r a t t a c h d r a w i n g / f l o o r p l a n s / d i a g r a m s : F O R M T E X T
4 . W i l l y o u b e v a c a t i n g y o u r c u r r e n t s p a c e ? F O R M C H E C K B O X Y e s F O R M C H E C K B O X N o 5 . W i l l t h e r e b e a n y r e m o d e l i n g o r e n h a n c e m e n ts to accommodate your proposed use? FORMCHECKBOX Yes FORMCHECKBOX No
If YES, fill out a Construction, Remodeling, Renovation form and forward to Facility Operations and attach a copy to this form.6. Will you need any additional/new furnishings? FORMCHECKBOX Yes FORMCHECKBOX No7. If yes, please briefly describe these changes (If more space is needed, you may attach additional page): FORMTEXT
8 . P l e a s e b r i e f l y d e s c r i b e h o w t h e s p a c e w i l l b e u s e d a s w e l l a s w h y n e w / a d d i t i o n a l s p a c e i s n e e d e d ( y o u m a y a t t a c h d r a w i n g / f l o o r p l a n s / d i a g r a m s ) : F O R M T E X T
C o n t i n u e d o n P a g e 2
S p a c e R e q u e s t a n d C l a s s i f i c a t i o n C h a n g e F o r m
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D e a n / D i r e c t o r ( i f n o t t h e r e q u e s t o r )
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F O R M C H E C K B O X R e t u r n t o R e q u e s t o r M o r e I n f o r m a t i o n N e e d e d
F a c i l i t i e s M a n a g e m e n t
N O T E S : F O R M T E X T
F O R M C H E C K B O X F o r w a r d t o P r e s i d e n t ' s C o u n c i l f o r D e t e r m i n a t i o n
F O R M C H E C K B O X R e t u r n t o R e q u e s t o r N o t R e c o m m e n d e d
F O R M C H E C K B O X R e t u r n t o R e q u e s t o r M o r e I n f o r m a t i o n N e e d e d
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F O R M C H E C K B O X F o r w a r d t o F a c i l i t i e s M a n a g e m e n t A p p r o v e d
F O R M C H E C K B O X R e t u r n t o R e q u e s t o r N o t R e c o m m e n d e d
F O R M C H E C K B O X R e t u r n t o R e q u e s t o r M o r e I n f o r m a t i o n N e e d e d
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