邢唷��>� 46��3��欹�%` ��bjbj"x"x .@@�� 2��A C C C C C C $�!h\$�g ��g ��| U U U ��A U �A U U ��|�� €鵨磐��"A � 0� '��$�X�$$ �$� 0��U ��g g ? �� IAB Space Request Form To initiate a space request, please fill out this form as completely as possible. For fields which do not apply or an answer is not known, leave blank or type in 揘ot applicable�. Date: ________________________________________ Name: _______________________________________ Phone: _______________________________________ Email: _______________________________________ List the lab and office spaces you currently occupy and how this space is being used. ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Briefly describe the intended use of the additional space. Address the potential implications to your program/service if additional space is not approved and/or available: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ New space will be used for (check all that apply): Instruction Research/grant Administration Storage Support Other, please specify: ____________________________________ Space will be used by: Faculty Staff Students Other, please specify: _______________________________________ What attempts, if any, have been made to locate space within your current space allocation? Has under-utilized space been assessed to solve this need? Have shared space possibilities been explored? Yes No If yes, please indicate: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Provide information on any time constraints that may affect the timing of allocation of the new space. ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Do you anticipate the number of people working on your project will increase in the next two years? Yes No If yes, please indicate anticipated growth: ________________________________________________________________________________________________________________________________________________ Would alteration of your current space be a solution to your needs? 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