Alt. Contact :
Alt. Office No. :
Alt. Cell No. :
Alt. Email :
SECURITY / ACCESS
UTILITIES
OTHER :
Fall Semester Start Spring Sem. Start Summer Sem. Start Holiday Break End of FY
Classroom Impact Lab Impact Research Impact
Grant / Funding
Fundraising
Safety / Security Event / Ceremony Gameday New Employee
Equipment Install
COLLEGE / OFFICE FACILITIES / R&R
RESTRICTED
Date :
Date :
Date Received :
Estimate Total :
Date Initiated :
FM Exec Director :
Project No :
Notes:
FACILITIES MANAGEMENT USE ONLY
V. PROJECT APPROVALS - REQUIRED
Dean / Director Name & Signature:
VP Name & Signature :
Critical Factors :
Critical Dates / Other :
( Rather than listing "ASAP", please briefly list any specific dates or reasons for the expedited handling of your project )
IV. ANTICIPATED PROJECT FUNDING
Funding Source :
Funding Range :
ESTIMATE ONLY
( No commitments will be made regarding any dates until after the project has been fully scoped, estimated, and funded )
3RD PARTY CONTRACTOR
WORK REQ. SUBMITTED
AUTHORITY TO EXECUTE EXISTING PROJECT
INSURANCE / DAMAGE CLAIM
III. SCHEDULE REQUIREMENTS / CRITICAL DATES
GROUNDS / LANDSCAPE MECHANICAL / HVAC / PLUMBING ELECTRICAL / TELECOM
Building Name / Location :
Room Number(s) / Area :
Project Description / Request:
(be detailed and attach any plans, sketches, photographs, and/or any other relevant materials)
RENOVATION / REFURBISHMENT BLDG ENVELOPE / ROOF
Primary Cell No. :
Primary Email :
STUDY / PROGRAM ADDITIONAL SPACE / RELOCATION FURNISHINGS / EQUIPMENT
Primary Contact :
Primary Office No. :
College / Office :
Department :
to Facilities Management by EMAIL at pif@evansville.edu
Project No : ________________
MAX FUNDING AVAILABLE
Project Initiation Form
INSTRUCTIONS:
Please
complete ALL sections, and then return the fully completed & SIGNED PIF
