Facilities Use Only:
Facilities Administration/Management
Project Request W/O #____________________
Date Received______________________
Campus Planning
Action Taken: __________________________
Project Management & Construction
______________________________________
Facilities Management
Scoping Estimate: _______________________
Project Request Form
Project Request FormRequest Form
PROJECT REQUEST FORM
(see page 2 for instructions)
1. Type of Request
(check all that apply)
__ A. Identity Signage & Wayfinding Signage (
Planning & Design)
__ B. Temporary Signage
(Planning & Design)
__ C. Specialty Signage
(Planning & Design of decals, t-shirts, buttons, etc)
__ D. Donor or Recognition Signage
(Planning & Design interior or exterior spaces)
__ E. Environmental Graphics
(Planning & Design of large format graphics, banners, etc)
__ F. Exhibit Design (
Planning, Design & Coordination)
2. Requestor Information
Name: _________________________________________________________________________
Dept/Unit/College: _______________________________________________________________
Phone #:___________________ Email: ________________________ Date: ________________
3. Location Requested Project
__ Fairfax __ Science & Technology __ Arlington __ Loudon __ Songdo (Korea)
__________________________________________________________
__ Off-Site
(Please specify):
4. Description of Requested Work
(attach a separate sheet if more space is needed)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
4. Requested Completion Date
_____________________________
(see page 2 for general schedule information)
5. Source of Funds
________________________________
(general/non-general or self-generated funds, grant, gift)
Funds Available ($ amount): _______________________
Budget Code: _____________________
6. Project Request Approval
(see page 2, item 6 for approval signatures required for requests above $15,000):
Unit Approval Authority: _______________________________________________________________
Signature / Print Name
Date
7. Email completed form to – jforgy@gmu.edu
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