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Request for Authorization for Change of Use and/or Reconfiguration of Space
Your Last Name:
Your First Name:
Your Department Name:
University Division:
Phone:
Date:
Please provide the following basic information:
Building/Room number:
Square footage:
Current use:
Proposed use:
Renovations/reconfigurations planned::
Has location preference been discussed with :
Facilities Services?
ITCS?
Are funds available:
Yes
No
Source of funds:
Additional information:
(purpose of use, frequency, numbers of students and others involved, etc.--forward additional sheets to flyeb@ecu.edu)