Major Capital Approvals Process “DRAFT”Mar.27/12
Idea Development Funding Request Form
For Internal Campus
Planning Use Only
Request Tracking Number:
(Please include the original Space Request Form with this submission)
Department:
Date:
Name:
Phone:
Email:
Identification of a Problem, Deficiency or Opportunity
A. Briefly describe the concept/synopsis of the project, including its tie to the Academic Plan, Research Plan, Campus
Plan and Enrolment Plan:
B.
Briefly outline the goals and aspirations of the project:
C.
Please outline the academic program requirements, e.g. an approved change to the program(s), numbers of students
in the program, a change in staffing numbers
D. Is program accreditation under review? No 
Yes  If yes, please describe:
E.
What departments and/or groups are affected/included in this proposal? Please describe:
F.
Please list the name(s) of the current building location(s) and floor(s), if relevant:
G. Is there a need for proximity to other facilities’ program areas? No 
Yes  If yes, please describe:
H. If available, what were the comments from the Campus Plan Advisory Committee?
I.
If teaching space is or could be a component of this proposal, please include the comments from the Teaching Space
Committee:
J.
Proposed CFI (research) Eligible Activity:
No 
Yes  Other Granting Agency No 
Yes 
Please forward the completed form and authorization signatures to Campus Planning and Development:
Attention: Yvonne Holland, Planning Manager; Email: yh2@queensu.ca or Fax: 613-533-6469
Identification of Source(s) of Funding
K. What is the total projected cost estimate for this project?
L.
What are the projected building operating costs for this project?
M. Will the project result in increased operating costs for the Department(s)? No 
increase of $
/ sq. m.
Yes  If yes, please identify the
N. Briefly outline the initial start up funds for planning requirements, e.g. site tours, planning sessions, materials testing,
initial consultants, visioning sessions, focus groups, etc.
O. Are funds available for a Charette (if required) and the Charge to the Architect? No  Yes  If yes, please
identify the funding source and amount available:
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
If other, please describe:
P.
Are funds available for the overall project? No  Yes  If yes, please identify the funding source and amount
available:
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
Department:
Account Number:
Amount: $
If other, please describe:
Q. Please specify the proposed start date and completion date for the project:
Proposed Start Date:
Proposed Completion Date:
REQUEST AUTHORIZATION SIGNATURES Please note: Approval signatures do not indicate a guarantee that the project outlined in this
request will proceed.
Department Authorization: I have reviewed the above request and have confirmed that the proposal is consistent with
institutional plans. I acknowledge that any project tendered at a cost exceeding the above pre-design cost estimate will not
proceed unless the department(s) agrees to meet the costs in excess of that sum and has the funding available.
Approved by: (Please print name & title)
Signature:
Date:
Dean or Equivalent Authorization: I have reviewed the above request and have confirmed that the proposal is consistent
with institutional plans. I acknowledge that any project tendered at a cost exceeding the above pre-design cost estimate
will not proceed unless the department(s) agrees to meet the costs in excess of that sum and has the funding available.
Approved by: (Please print name & title)
Signature:
Date:
Please forward the completed form and authorization signatures to Campus Planning and Development:
Attention: Yvonne Holland, Planning Manager; Email: yh2@queensu.ca or Fax: 613-533-6469
Please forward the completed form and authorization signatures to Campus Planning and Development:
Attention: Yvonne Holland, Planning Manager; Email: yh2@queensu.ca or Fax: 613-533-6469