MICHIGAN STATE UNIVERSITY 
SPACE REQUEST FORM page 1 of 2

The following is an outline of the information necessary to facilitate the evaluation of a request for additional program space.  Units are encouraged to carefully respond to each component.  Questions can be addressed by the space administrator in your dean’s/vice president’s office or by contacting OPB / Facilities Planning and Space Management.

College/Unit:                                                                                		   Date Submitted: 
College/Unit Representative:								College/Unit Rep Phone No.:
Request Location (Preferred): 
Requested Date of Change or Assignment: 

PROGRAM DESCRIPTION AND PERSONNEL

Briefly describe the program and its goals as they relate to the teaching, research, or outreach missions of the college and the university.

Briefly describe the functions and activities of the program, which are necessary to accomplish the program goals.

Indicate if this is a contract or grant funded initiative.  Include the period of the award and the indirect cost recovery rate.

Describe the personnel who will be involved in delivering this program:

	Head Count	FTE	Current Office or Lab Space
(Y or N)	Type and Current Location of Space	
Faculty					
Staff					
Post-Doc					
Graduate Assistants					

Additional Notes:

SPACE REQUEST RATIONALE

Date of Last Space Audit:

Space Audit Updates Provided to FPSM?

What has the college/unit done to try and accommodate this program within currently assigned space and why has it been unable to accommodate the program in currently assigned space?

OFFICE OF PLANNING & BUDGETS / FACILITIES PLANNING & SPACE MANAGEMENT
MICHIGAN STATE UNIVERSITY
SPACE REQUEST FORM page 2 of 2

Does this change the priority of the overall facilities priorities that are articulated in the College/Support unit fall budget planning materials?  Please 
include the new priority order.

Other special considerations not noted above.

TYPE AND AMOUNT OF SPACE REQUESTED

Define the types of spaces requested in priority order; please list spaces in table format, following the sample below:

Type of Component/
Activity/
Function	Personnel	Position
(Fac, Post Doc, Non Acad Staff, Grad Assist)	FTE	Type of Space Required	Spatial Requirements	Sq. Ft. Requested	Space Currently Assigned	Proposed Location	Known or Anticipated Utilization Rates	
Academic Advising	J. Smith	Staff	1	Office	Workstation,  Ethernet, Phone	90	A140 LS	210 XYZ Hall	8-5 M-F	

										

If a specific location is not requested, please indicate any preferred locations

DISPOSITION OF CURRENT SPACE

Describe the future plans for any space that is currently assigned to the unit for this program or that will be affected if new space is acquired.
Please note: current space that will be vacated as a result of acquiring new space for the college or unit is automatically released to the Executive Committee for Buildings, Facilities and Space.  If the unit wishes to retain the space, a request which follows the above outline, may be submitted with this proposal.

ALTERATIONS / IMPROVEMENTS AND FUNDING PLAN:

If alterations or improvements (A&I) are required before the space can be occupied, it will be necessary to obtain an estimate from Infrastructure, Planning and Facilities (IPF).  Forward a Service Request directly to IPF to obtain the estimate.  It is not necessary to forward the estimate request through Facilities Planning and Space Management.

Obtain estimates for any necessary work.  Examples include fume hoods, laboratory case work, special power needs, security/card access, Ethernet, furnishings, telephones, and moving.  IPF estimators can help coordinate these requests.

See Section 201 of the Manual of Business Procedures or go to: https://opb.msu.edu/functions/facilities/policies/policies-procedures.html

Contact Facilities Planning and Space Management for assistance at 353-5062.

Once estimates have been obtained, indicate the planned or anticipated funding sources for the A&I work and timeline needed.