<Project Name> Project Request
INITIATOR
PREPARED BY (IF DIFFERENT FROM INITIATOR)
<Name>
<Position>
<Unit>
<Phone number >
<E-mail address>
<Name>
<Position>
<Unit>
<Phone number>
<E-mail address>
PROJECT SUMMARY
DESIRED OUTCOME
Business Goals:
Objectives:
JUSTIFICATION
IMPACT OF PROJECT
CONSTRAINTS / LIMITATIONS / CONSIDERATIONS
March 26, 2010
Page 1
<Project Name> Project Request
PROJECT RESOURCE ESTIMATES – STAFF AND COSTS
(Rough Order of Magnitude Estimates)
Staffing Requirements
Costs
Funding Source
REQUEST SIGNOFF
The initiator must have authority to initiate the project on behalf of the requesting unit and commit
requesting unit’s resources (human and/or financial) to the project. Submission of a signed request
indicates that should the project proceed, the initiator has the authority and is prepared to commit
resources to the project as required for the successful completion of the project.
___________________________________
<Name>
<Position>
March 26, 2010
Page 2
_____________________________
<Date>