MiS

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ess_case_study_template_2.doc

A-1 Information Systems

Phone: 838-9009 Fax: 838-1115

Internet: http://www.a1.com

Intranet: http://www.a1.is.com/is

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DATE OF REQUEST

SERVICE REQUESTED FOR ORGANIZATION

SUBMITTED BY (key user contact)

EXECUTIVE SPONSOR (funding authority)

Name

Name

Title

Title

Office

Office

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)

( New Application Development FORMCHECKBOX Not Sure

FORMCHECKBOX Other (please specify ________________________________________________________

Project Description

Business Justification

Assumptions

Project Scope

Out of Scope

ACTION (IT Office Use Only)

( Feasibility assessment approved Assigned to Kira Webster _______

FORMCHECKBOX Feasibility assessment waived Approved Budget $ _____ _____ Start Date ________ Deadline _ months__

FORMCHECKBOX Request delayed Backlogged until date: ______________

FORMCHECKBOX Request rejected Reason: ______________________________

Authorized Signatures: ______________________________ __________Jack Mills_________________ Project Executive Sponsor

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