UCOP PROGRAM MANAGEMENT OFFICE Project Intake Form Process: Please complete and return this form to Zoanne Nelson at zoanne.nelson@ucop.edu We will respond within 48 hours of your request regarding status or next steps If you have any questions, please contact zoanne.nelson@ucop.edu. Date of Request: Requestor Name: Division, Department, Unit: Project Overview: Scope, Problem/opportunity Service Being Requested Key Risks, Issues, Dependencies Key Stakeholders: Potential Sponsor, Team Members, Managers, SME’s Timeframe: Duration, Major Deliverables, Major Milestones Expectations of Deliverables, Services 1 UCOP PROGRAM MANAGEMENT OFFICE Project Intake Form Related documents for further review Ball Park Cost Estimate (FTE, $, Other Resources) Do you have funding for project resources? 2