Campus Information Request
Name
Student Number
Phone number
Department
Program
Email Address
Circle one of the following:
Floor Plans / Utility Data / Elevators / Fire Safety Plans / Other
If Other, please describe:
Project Title:
Reason for Information Request
Date Info needed
Building
Location
Floor
Person to contact(Professor) Phone Number
Email Address
Department Chair
Email Address
Phone Number
Room
Signed this ______ day of ______________, 20_____
__________________________________
Print Name
_______________________________
Signature
By signing the above, I confirm that the information has been provided in confidence, for the
sole purpose of aiding in the completion of a research or course project, and may not be
disclosed to any third party or used for any other purpose without the written permission of the
Director of Campus Facilities and Sustainability at Ryerson University.