Seattle Central Community College Facilities Operations & Management Advisory Committee Space Request All requests for space will be reviewed and acted on by the Facilities Operations & Management Advisory Committee. Please provide the following information and submit to the Facilities Department BE 1142 Date: Click here to enter a date. Program/Department: Click here to enter text. Prepared By: Click here to enter text. E-mail: Click here to enter text. Concept Approval: Phone: Click here to enter text. ___________________________________/___/___ Signature of Administrative Sponsor Date Intended Use: ☐ Instruction ☐ Research ☐ Administration ☐ Storage Used By: ☐ Faculty ☐ Support ☐ Other ☐ Prof. Staff ☐ Class. Staff ☐ RA/TA ☐ Students ☐ Other 1. Briefly describe the needs that drive this space request. (describe the project scope, construction or relocation requirements, special system requirements, and operational needs. As applicable, illustrate the areas impacted by this project and attach sketches) Click here to enter text. 2. Describe how approval of this request would support the SCCC mission, vision and strategic initiatives. Click here to enter text. 3. List the benefits that would be achieved from implementing this project (improved access, revenue, compliance, reduced staffing costs, marketability, aesthetics etc.). Where possible, quantify the benefit. Click here to enter text. 4. What impact, if any, would this project have on other departments, programs, or functions? Click here to enter text. 5. What services need to be provided to support the requested space? (phones, computer, maintenance, custodial, supplies etc.) Click here to enter text. 6. In the event that your space request is not approved, what other alternatives could be employed to address your needs? Click here to enter text. 7. If available, provide an estimate of costs to implement this request. Click here to enter text. 8. Identify the source of funds that is being proposed to support this request. Click here to enter text.