Department Proposal for Information Technology Funding Over $5,000 FY Submit proposal to: Office of Information Technology, Campus Box 188 ORGANIZATION NAME: ORGANIZATION NO.: PROJECT NAME: REQUESTOR: EMAIL: EXTENSION: REQUESTOR SIGNATURE: Date: DIRECTOR/DEAN APPROVAL: Date: VICE PRES. APPROVAL: Date: For Office of Information Technology Use Only DATE RECEIVED: PROJECT APPROVED: YES NO COMMENTS: Page 1 of 4 I. II. Summary The purpose and anticipated end result of this proposal The type and amount of support requested Needs/ Objectives Identify the needs or problems to be addressed. Include the target population State the desired goals and objectives Page 2 of 4 III. Key Personnel List the key personnel who will be responsible for completion of the project, as well as other personnel involved in the project. Name Department Role IV. Timetable Provide detailed information on the expected timetable for the project. Break the project into phases, if applicable, and provide a schedule for each phase. Description of Work Start and End Dates Phase One Phase Two Phase Three V. Budget State the proposed costs of the project. Also indicate whether cost is recurring or one-time. Description One-Time Cost Total $ 0.00 Recurring Cost $ 0.00 Page 3 of 4 VI. Appendix Provide supporting material for your proposal here. Page 4 of 4 Instructions: 1. 2. 3. 4. Complete all sections of “Proposal” form. Attach all supporting documentation including quotes, case studies, etc. Sign and obtain VP approval before submitting. Submit proposal to: Office of Information Technology, Campus Box 188 Procedures and Policies: Proposals will be reviewed and approved by the Office of Information Technology. If approved, funds will be transferred to the requestor’s organization number. Upon a completion of the project, you are required to submit a project summary to the Office of Information Technology and include a budget cost analysis. Any unused funds must be returned to the Office of Information Technology.