NSU Research Space Allocation Request

Name of Requestor: *

Position Title: *

College Affiliation: *

Phone Number:*

Email Address: *

Dean Name: *

Dean Email Address: *

Do you belong to an Institute? *

Yes No

If this request is being made for a prospective new recruit, please provide their name and information on their research and special space request needs:

Location of research space requested:

Please provide all index numbers associated with active sponsored research funding.
If this request is being made for a prospective new recruit, please provide information on their sponsored research funding. *

Please provide any other considerations that support your research space request.

Provide a justification for the need of the research space: *

Is this related to an impending grant submission? *
Yes No

Please verify that you have completed all required fields and are not a robot before submitting this form.