Office Change Request Form

Name:

Email:

Department/Unit:
--SELECT YOUR DEPARTMENT-- AD-Academic Programs-Kathleen deMarrais AD-Faculty & Administrative Services AD-Research & External Affairs-Karen Watkins Business Office-Bill Stauff Center for Latino Achievement & Success in Education-Pedro Portes Communication Sciences & Special Education-Anne Bothe Counseling & Human Development Services-Rosemary Phelps Dean's Office-Louis Castenell Educational Psychology & Instructional Technology-Randy Kamphaus Elementary & Social Studies Education-Ronald VanSickle Kinesiology-Kirk Cureton Language & Literacy Education-Joel Taxel Learning & Performance Support Lab-Mike Hannafin Lifelong Education, Administration, & Policy-Ron Cervero Mathematics & Science Education-Denise Mewborn Office of Information Technology-Sandi Glass Student Services-Jamie Lewis Workforce Education, Leadership, & Social Foundations-Roger Hill

Approved by Department/Unit Head

Cost to COE: $ Enter Requested Amount
e.g. Additional Furniture, Renovations Computer Drops, Fee charges, Equipment (Contact Physical Plant for estimate)

Room # / Building Name

Current Office:

New Office:

Comments: