Project Request Form

1. Project Request Form Project Approval FormPurposeThe purpose of this tool is to standardize all Project Requests so that we can evaluate andprioritize all requests appropriately and facilitate delivery.Requester InformationDepartment: Priority: High Med LowContact Name: Contact Email:Project Sponsor: Date:Project OverviewPlease provide a high-level overview of the project including deliverables, business benefits,and level of urgency and importance.Strategic Goals & ObjectivesBriefly document how this project aligns with the strategic organizational goals &objectives for this year. 1. Objective #1 2. Objective #2 3. Objective #2

2. Impact of Non-CompletionShould resources not be available for this project, describe how the business will beimpacted by non-completion of this proposed project.Stakeholders  Who are the internal and external stakeholders for this project?  How will each set of stakeholders be involved?Project TimelinesStart DateDocument the anticipated start date of the project to ensure resources can be effectivelyallocated to your initiative.End DateAlthough timelines may change during the course of the project, attempt to set an enddate or deadline by which all milestones will be achieved.Anticipated Resources Required  What resources will be required to complete this project? Estimate the total number of staff and how much time they will need to allocate.  How much will this project cost? Impact of Non-CompletionShould resources not be available for this project, describe how the business will beimpacted by non-completion of this proposed project.Stakeholders  Who are the internal and external stakeholders for this project?  How will each set of stakeholders be involved?Project TimelinesStart DateDocument the anticipated start date of the project to ensure resources can be effectivelyallocated to your initiative.End DateAlthough timelines may change during the course of the project, attempt to set an enddate or deadline by which all milestones will be achieved.Anticipated Resources Required  What resources will be required to complete this project? Estimate the total number of staff and how much time they will need to allocate.  How much will this project cost?

3. Results Measurement  How will business value be measured?Project Approval (required signatures)Project Sponsor: Other Key Stakeholder:Date: Date:Name: Name:Signature: Signature:Requesting Department Manager: Project Manager:Date: Date:Name: Name:Signature: Signature: Results Measurement  How will business value be measured?Project Approval (required signatures)Project Sponsor: Other Key Stakeholder:Date: Date:Name: Name:Signature: Signature:Requesting Department Manager: Project Manager:Date: Date:Name: Name:Signature: Signature: