Write and assess a change request for eGrants project

Organization:      

Date:      

Project Manager:      

Project Name:      

Project Sponsor:      

Change Request Prepared By:      

Version/Number:      

Revision Date:      

Change Request Description

Business or Technical Justification

Priority and Impact if Change is Not Implemented

|_| HIGH

|_| MEDIUM

|_| LOW

Impact Assessment

Project Area

Yes or No

Detail impact

Cost

Schedule

Resources

Requirements

Goals/Objectives

Deliverables

Risk

Technical Architecture

Other Projects

Options for Resolution

Recommendation in Bold

1. [insert text]

Change Request Resolution

Change Request Decision

□ Approved □ On Hold □ Denied

Decision Date

Decision Made By

□ Project Manager □ Project Sponsor □ Executive Sponsor □ Other

Decision Maker Name