Space Request Form Faculty Member Name(Required)Enter the name of the faculty member who needs the space First Last Faculty Member Degree(Required)Enter Degree information for Faculty Member who needs the space, e.g., MD, PhD, etc. Faculty Member UFID(Required)Enter UFID of Faculty Member who needs the space. For new incoming faculty who do not yet have a UFID, please enter 00000000. Faculty Member Email(Required)Enter email address of faculty member who needs the space Faculty Member Academic Rank(Required)Enter the academic rank of the faculty member who needs the space, e.g., Assistant Professor. Faculty Member CV or Biosketch(Required)Please attach most recent CV or NIH Biosketch (including Other Support section) for the faculty member who needs the space. This must include current active funding with active date(s) and information about the award(s) and accurately capture past and present research productivity.Accepted file types: pdf, Max. file size: 125 MB.Description of current space(Required)Please list current faculty space including: building, room number(s), number of FTEs, approximate square footage, separated by a semicolon. Example: BSB; N1-07; 2 FTEs; 1200 sq ft.What are the current space special requirements (if applicable)?Example: location, disability access, equipment, adjacencies, etc.Space justification(Required)Describe the programmatic need for space: What are the benefits (programmatic, financial, etc) that will occur as a result of having the request granted? What is the potential negative impact of space not being assigned? If there are any special circumstances relevant to this request, please list them here.Suggest possible vaccant (or soon to be vacant) spaces that could satisfy this need(Required)Please enter Building, Room number(s), Approximate sq ft, Vacancy status, Reason why this space might be appropriate.When is the requested space needed by?(Required)Please make sure your justification supports the requested date Month Day Year Supplementary InformationIf there is any additional information you need to submit as part of your request, please upload those documents here. Drop files here or Select files Accepted file types: pdf, xls, xlsx, Max. file size: 125 MB. Proxy form completionIf you are completing this form on behalf of a faculty member, please enter your name, title, department, and contact email address here.
