University of Minnesota
Capital Need Identification Form
Instructions:
Complete the following and attach to Project Request.
Request – Basic Information
Contact Name / Title of RequestPhone / Building Impacted
Email / Floor(s) Impacted
Dept. & RRC / Room(s) Impacted
Short Description (1 to 2 sentences):
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Background
Unit Background – “About Us”
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Goals and Objectives
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Applicable local strategic plans
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Rationale
How will the proposal advance the University’s strategic plans, capital planning goals, principles, and metrics of ensuring student success, enhancing faculty research productivity and scholarly impact?
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How will the proposal help to fulfill the University’s statewide mission?
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How do existing facilities (size, configuration, deficiencies) limit the unit’s ability to deliver program activities and functions?
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How will this project allow your RRC to reduce its overall space footprint or improve utilization of existing space?
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Program Analysis
What program activities and functions will be supported by the proposed project?
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How many new and existing faculty, staff and students will be served?
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Identify trends and assumptions for program growth or change.
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Alternatives
What alternatives have been or should be considered for accommodating the capital need?
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Project Timing
What is the desired timeline for addressing the capital need?
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Why is the timing important?
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Funding
What is the anticipated source and availability of funding for the project?
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What are the projected annual program costs (e.g., faculty, staff, program operations) and annual revenue (e.g., tuition, research overhead, external sales) related to the project?
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SIGNATURES
Signature of Preparer:
Printed Name: Click or tap here to enter text. Date of Approval: _____/_____/_____
Signature of RRC Facilities Lead (if different than preparer):
Printed Name: Click or tap here to enter text. Date of Approval: _____/_____/_____
Signature of Requesting Unit Dean or AVP:
Printed Name: Click or tap here to enter text. Date of Approval: _____/_____/_____
Rev: 2016 12-21