UNG Facilities & Operations: Physical Space Request Form

This form should be completed by the Department Head or higher and submitted to the appropriate individuals for approvals.

Someone will contact you once the form is completed and submitted to the Office of Project Management & Campus Planning.

Contact adam.strzemienski@ung.edu for any questions.

Anything marked with a red asterisk is a required field.

Requestor Information
Name Name * First Last
College/Department *
Office Number *
Email *
Space Request Details
Campus *
Building *
Room/Area *
This request is for: *
Space Type: *
Space will be used by: (select all that apply) *

Space will be used by: (select all that apply) Faculty Staff Students Public Multipurpose Other Other
When may the project begin? *
When must the project be completed? *
About the Project
Please provide a brief project narrative. *
What utilities (if any) will be affected or needed? (Water, sewer, power, gas, data, etc.)
Project Funding
Please choose one *

Please choose one Estimate only Project is currently unfunded Requesting department is fully funding project Requesting department is partially funding project Other Other
Max Allocated and Approved for Project
Funding Source
Project Approvals
Department Head *
Department Head's Email *
The department head/dean named above has approved this request.
Dean's Name and Email (if applicable)

UNG Facilities & Operations: Physical Space Request Form

UNG Facilities & Operations: Physical Space Request Form

Requestor Information

Space Request Details

About the Project

Project Funding

Project Approvals