Facilities Project Request Form - Newark Board of Education

When Facilities Management receives the completed Project Request Form it will be assigned to an Architect depending on the scope of the work. The request will also be entered in the “School Dude” to be assigned a project number for tracking purposes. You will be notified by email of the project number and the staff assignment. The project manager will contact you to discuss the scope of work and to perform a site investigation of the proposed area. Then a Project Program of Requirements which includes a budget estimate and a proposed schedule will be generated and sent to you for your acceptance.

There is NO charge for any of the services outlined below. However, if the proposed project is assigned to an Architect, a fee may be charged. You will see when you review the proposed budget that there is a line for the fees that Architect will charge for developing all necessary construction documents, obtaining building permits and competitive bids, and overseeing the construction of your project. If you elect to proceed with the project you will need to obtain the necessary approval signatures and will be asked to approve funding for the amount indicated on the project estimate.

SECTION 1: GENERAL INFORMATION
Please fill out this section with your Department Information.
Department*
Project Client/Advocate*
Name of Requestor*
First Last
Requestor's Email Address*
Preparer's Phone Number*
Location*
Date Submitted*
MM slash DD slash YYYY
SECTION 2: PROGRAM/PLANNING INFORMATION
In this section, Facilities Management can fill in the square foot area sections so you do not need to fill in these blanks. Please do select yes if there is a need for temporary accommodation of any activities or occupants. Also, mark if you are requesting an estimate and the desired completion date.
Building Location*
Floor(s)*
Room(s)*
Please enter a number greater than or equal to 1.
Existing Use*
Proposed Use*
Existing Area (Square Footage)
Proposed Area (Square Footage)
Will temporary relocation be necessary?*
Is this request for an estimate only?*
Check all that apply*
- Air A/C
- Paint
- Change of use
Desired Completion/Occupancy Date*
MM slash DD slash YYYY
SECTION 3: PROJECT DESCRIPTION
This section should include a description of the requested project. If you have any specific requirements for the space, such as number of seats or special equipment. Also note if any of the rooms are centrally owned or are shared with other department(s) that may need to be consulted.
Please use the space below to write a brief summary of what you require and*
SECTION 4: MATERIAL USE INFORMATION
This section can be filled out by Facilities Management unless you are aware of any specific hazardous materials. Any hazardous laboratory chemicals should be listed here.
(If applicable for existing or proposed space.) List known requirements or
SECTION 5: FUNDING SOURCE
Please provide as much information as you can.
Do you have an estimated cost or budget?*
What is your estimated cost or budget?
Fund Source*
Fund Number
Fund Name
Which items in Section 4 are included in the estimate?
Are temporary relocation costs included in the estimate?*

SECTION 1: GENERAL INFORMATION

SECTION 2: PROGRAM/PLANNING INFORMATION

SECTION 3: PROJECT DESCRIPTION

SECTION 4: MATERIAL USE INFORMATION

SECTION 5: FUNDING SOURCE