Space Request form

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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:
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Program/Department:
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Prepared By:
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E-mail:
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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)
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2. Describe how approval of this request would support the SCCC mission, vision and strategic
initiatives.
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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.
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4. What impact, if any, would this project have on other departments, programs, or functions?
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5. What services need to be provided to support the requested space? (phones, computer,
maintenance, custodial, supplies etc.)
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6. In the event that your space request is not approved, what other alternatives could be
employed to address your needs?
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7. If available, provide an estimate of costs to implement this request.
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8. Identify the source of funds that is being proposed to support this request.
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