The purpose of the capital project request process is to identify and prioritize programmatic needs. The President’s Administrative Team (deans and division heads) will work with their respective chairs and faculty or department heads will develop a list of their needs and then submit this form for each prioritized need. Use this worksheet during the process, then cut and paste into the online form found at http://www.cwu.edu/facility/capital-budget-requests. 2017-2019 Capital Project Request (All file attachments must be 16 MB or less and in PDF format) CONTACT INFORMATION: Department: Dean or Division Head: Phone Email: Project Contact: Phone Number Email Address REQUEST TYPE □ State funded capital project o New o Re-submission of previous request (year) □ Non-State funded capital project o Self-support/auxiliary funds o Housing/Dining o Grant o Gift o Other (describe) DEFINING THE NEED 1. Description of program need to be addressed by the capital project request. 2. Description of how resolving this need aligns state legislative priorities o o o o o Enrollment growth and increased degree production Replacing failing permanent buildings Renovate facilities to restore building life and upgrade space to meet current requirements Stand-alone infrastructure projects Promote economic growth and innovation through expanded research activity Elaborate on why you chose these areas: 3. Description of how this request supports the University’s strategic plan. 4. Description of current operation facilities and location, including a) capacity and projected growth; b) safety concerns; c) condition of existing space 5. Description of planned future changes in scope of operation. Is this request related to current academic programs and/or new or entrepreneurial programs under consideration? If new, attach program approval forms and indicate status of approval process. 4. Identification of on-campus operations with whom immediate locational proximity is required or desired. STAFFING LEVELS Identify below, as appropriate, the present and projected number of employees in each category listed. Show increases or new positions in the “foreseeable future.” Add rows as needed. Staffing Level Position Category and Title Current Projected Level Level Administrative (e.g. Dean, Director, Chair) Faculty / Staff (FTTT and FTNTT Faculty, Staff and Grad Assts. Student Employees / Consultants TEACHING, RESEARCH AND SUPPORT SPACE REQUIREMENTS List below by title the teaching, research and support space program and operational needs. Add rows as needed Examples: Instructional Lab with station capacity Conference Room with seat capacity Storage requirements – est. sq. ft. and materials/equipment to be stored Reception area Room Title Number of rooms SUPPORTING DOCUMENTATION (All file attachments must be 16 MB or less and in PDF format) □ □ □ □ □ REQUIRED: Division Head List of Program Priorities (same memorandum may be attached to multiple requests) Previously completed estimates, if available Academic prospectus, if available Any previously completed studies or program review documents Program Curriculum Forms (new or entrepreneurial programs)