Request for Renovation
Request for Renovation
Requesting Department
*
Date of Request
Date of Request
*
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MM
/
DD
YYYY
Contact Name
*
Contact Phone
Contact Phone
*
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-
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Contact Email
*
Building Information
Please provide building name and room number(s) of space to be renovated.
Building Name
*
Room Number(s)
*
Please describe renovation need in detail.
*
Renovation Needs
*
Renovation Needs
Electrical
Painting
Plumbing
Wall Repair (Sanding/Patching)
Other
Other
Space will be used for:
*
Space will be used for:
Classroom
Office
Exam Room
Storage
Research Lab
Other
Other
Will you need new or additional furnishing?
*
Will you need new or additional furnishing?
Yes
No
What are the implications if the renovation is not approved?
*
Funding Information
What is the source of funds for the renovation?
*
What is the source of funds for the renovation?
College
Department
Division/VP
Grant
Funds Not Indentified
Other
Other
What is the budget for the project?
*
Required Authorization
Name of Department Chair or Director
Email
Date
Date
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MM
/
DD
YYYY