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: _________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Reason for request: _________________________________________________________ _______________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 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