SYSTEMS PROJECT PROPOSAL FORM

Part 1 (to be completed by requester)

Date submitted: ________________        Request for:    9       Modification of system

                                                                        9       Redesign of system

                                                                        9       New System

Submitted by: __________________________        Department: ___________________


Nature of Request: _________________________________________________________
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Reason for request: _________________________________________________________
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Part 2 (to be completed by CIO and staff)

Systems work required:  9       Minor           9       Moderate                9       Major

Implementation work required:  9 Software        9 Hardware              9 Personnel

New resources required:  9      Minor           9       Moderate                9       Major

Feasibility factors score: T_____ E_____ L ______ O ______ S______      Score: _____


Part 3 (to be completed by the steering committee or user groups)

Strategic factors score: P_____ D ______ M _______      Score: ______

Priority assigned: ______________________       Starting date: ____________________

        9       Approved                9       Tentatively approved    9       Rejected