This 3-page document is a capital project request form for a community college. It requests information such as the funding source for the project, estimated costs, priority ranking, and whether it was previously approved. It also requires descriptions of how the project supports the college's goals, projected enrollment impacts, and potential consequences of not funding. Additional details such as a project schedule, alternatives considered, and approvals from administrators are also summarized.
This 3-page document is a capital project request form for a community college. It requests information such as the funding source for the project, estimated costs, priority ranking, and whether it was previously approved. It also requires descriptions of how the project supports the college's goals, projected enrollment impacts, and potential consequences of not funding. Additional details such as a project schedule, alternatives considered, and approvals from administrators are also summarized.
This 3-page document is a capital project request form for a community college. It requests information such as the funding source for the project, estimated costs, priority ranking, and whether it was previously approved. It also requires descriptions of how the project supports the college's goals, projected enrollment impacts, and potential consequences of not funding. Additional details such as a project schedule, alternatives considered, and approvals from administrators are also summarized.
This 3-page document is a capital project request form for a community college. It requests information such as the funding source for the project, estimated costs, priority ranking, and whether it was previously approved. It also requires descriptions of how the project supports the college's goals, projected enrollment impacts, and potential consequences of not funding. Additional details such as a project schedule, alternatives considered, and approvals from administrators are also summarized.
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Step 1.
2 Form Page 1 of 2
Capital Project Request Form
Original Request Repeat Request FY:
CAPITAL PROJECT REQUEST FORM
(Please Submit Electronically)
College-Funded: from: College Operating Budget Grant Application (Describe) Cost estimate: (include brief explanation) Additional Funding Opportunities: Rank priority: Low High Project Number: (Facilities use only)
Medium
District -Funded:
Approved in Capital Budget Yes No or Annual Capital Plan Submittal
Development (Grant opportunity)
Date of Submittal:
Building Location/College:
Building Name:
Project Name: (Please limit to 40 characters)
Department Submitting Proposal: Department or Program Affected: User Team Leader: (Please include title)
Phone:
Email:
Does Target Completion
Date fall within established scheduling guidelines for project type Yes No Number of Weeks: PROJECT TYPE (please select one classification from below) Feasibility/Planning: Renovation: New Construction: Code or Infrastructure Deficiency: Interior Exterior Upgrade: Equipment/Systems: Upgrade: (Includes landscape and (includes lighting) furniture) PROJECT JUSTIFICATION Which one of the CCC Goals does this project support and why? (Please explain) Requested start date: (Please review attached planning schedule)
Requested completion date:
Please describe the benefits to CCC of implementing this project?
Present Enrollment/Occupancy:
Projected Enrollment/Occupancy:
Capital Project Request Form
Step 1.2 Form Page 2 of 2
Occupancy Explanation: Please describe the assumptions supporting
increase/decrease in enrollment and or occupancy. Include any data (cite source of data) used to develop your projections.
Project Description: Describe the scope, location, potential users and whether swing space is required. If relevant, include room numbers, approximate square footage and attach a floor plan highlighting area of impact (Capital Planning & Construction can assist). For equipment/systems please include a description of benefits.
Project Justification and Consequences of not funding: Describe how this project furthers academic or administrative goals or supports new initiatives and the negative impact of not funding.
Project Schedule: Describe the required schedule. Discuss implications of schedule
delays. Detail options that exist to bridge the time between need and completion. Discuss how you will accomplish this schedule. Linkages: If this project triggers another project or is linked to others in your unit or in the College/Department, describe below.
Answer the following as they pertain to the project:
1. What other alternatives to this project have been considered and why were they discounted?
2. Is this project expected to decrease/increase either College or District
operating costs? How and by how much?
3. Will this project increase square footage? If yes, by how much? (Capital Planning staff can assist) 4. Will this project result in or require the modification of space adjacent to the proposed project area? If yes, please describe. 5. Will the result of this project require any special equipment, operating conditions, or the purchase of equipment or furniture? If so, is it part of this
Capital Project Request Form
Step 1.2 Form Page 3 of 2
request? If not part of this request, please describe further requirements
and estimated costs.
PROJECT APPROVAL (please type in name, date and check box)
Executive Business Director Approved Approved Date: Date: Project Team Leader Director Auxiliary Services: Approved Approved Date: Date:
