New Facilities Modification Request

Describe the modification request including but not limited to desired outcome, required student seat counts, etc.*
Please share any supporting photos or documents that support the request

Optional
Cancelof
YesNo
Target Completion Date*

MonthDayYear
MM-DD-YYYY
Please provide the amount of funding available and any expiration dates*

YesNo
If yes, please explain how this equipment will support the instructional program/class and it's use

This form must be approved by the area Dean/Manager and Vice President before the Capital Projects team can proceed with assesement. Please provide email's below.
Email of overseeing Dean/Manager - Approval #1*
Please check the email for accuracy, if not correct, manager will not receive the request for approval
Email of overseeing VP - Approval #2*
Please check the email for accuracy, if not correct, VP will not receive the request for approval
Should be Empty: