260 W ASSIGNMENT
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<INSERT COMPANY NAME HERE> Phone: Fax:
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DATE OF REQUEST |
SERVICE REQUESTED FOR DEPARTMENT(S) |
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MM/DD/YYYY |
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SUBMITTED BY (key user contact) |
EXECUTIVE SPONSOR (funding authority) |
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Name |
Name |
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Title
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Title |
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Office |
Office |
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Phone |
Phone |
TYPE OF SERVICE REQUESTED:
FORMCHECKBOX Information Strategy Planning FORMCHECKBOX Existing Application Enhancement
FORMCHECKBOX Business Process Analysis and Redesign FORMCHECKBOX Existing Application Maintenance (problem fix)
FORMCHECKBOX New Application Development FORMCHECKBOX Not Sure
FORMCHECKBOX Other (please specify _______________________________________________________________________
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BRIEF STATEMENT OF PROBLEM, OPPORTUNITY, OR DIRECTIVE (attach additional documentation as necessary)
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BRIEF STATEMENT OF EXPECTED SOLUTION
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ACTION (ISS Office Use Only) FORMCHECKBOX Feasibility assessment approved Assigned to _<name of student>_ FORMCHECKBOX Feasibility assessment waived Approved Budget $ _____________ Start Date __ _____ Deadline _ ___ FORMCHECKBOX Request delayed Backlogged until date: ______________ FORMCHECKBOX Request rejected Reason: ________________________________________________ Authorized Signatures: _____________________________________ _________________________________________________ Project Executive Sponsor |