MiS
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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 |
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SUBMITTED BY (key user contact) |
EXECUTIVE SPONSOR (funding authority) |
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Name |
Name |
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Title |
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)
( New Application Development FORMCHECKBOX Not Sure
FORMCHECKBOX Other (please specify ________________________________________________________
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Project Description
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Business Justification
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Assumptions
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Project Scope
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Out of Scope
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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 |