Cunz Hall Workspace Request

This survey will be used for requesting a workspace assignment or change within Cunz Hall and the College of Public Health. This process is available to active CPH Faculty, Staff, and Postgrad Students. Please consult the CPH Workspace Guidelines before continuing: go.osu.edu/CPHSpaceGuidelines

Your name

Your OSU email

Name of person occupying the space (if requesting on behalf of someone else)

Role of person occupying the space

Date workspace is needed – beginning and end dates:

If applicable, what is current workspace/office number?

What is the requested workspace change?

Location/floor change
Type of workspace change
New space

Select all that apply to the workspace needs:

Work from Cunz Hall at least 3 days/week
Remote at least 3 days/week
Daily private meetings/phone calls
Weekly private meetings/phone calls
Storage of physical secured data (IRB, PHI, etc)
Willing to work in shared office

Do you require any accommodations for the physical space?

Yes, please explain
No

Please add any additional notes, if relevant