DFA IT Project Initiation Request

Requester's Name*

Requester's Email*

Sponsoring Office*

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Project Name*

Provide the proposed project name

Project Description*

Provide a brief description of expected project benefits and approach.

Project Justification*

Provide a brief description of why the expected benefits of the project are needed at this time.

Priority*

Select the priority based on the known driver for the project request.

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Duration*

Provide a high level estimate of the delivery timeline based on implementation time frame or requested due date (e.g., weeks or months).

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Size*

Select the project size or complexity based on the number of contributors or expected cost. 1-Small (Fewer than 10 contributors and less than $100K hard dollars) 2-Medium (10 to 25 contributors or $100K to $1M) 3-Large (Greater than 25 contributors or greater than $1M) 4-Jumbo (Greater than $5M - Requires UCOP Reporting)

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Project Governance (optional)

Identify the scope of decision making authority based on department boundaries

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Funding*

1-Already Budgeted

2-Requires New Funding

Assumptions and Constraints (optional)

If applicable, provide additional information on known assumptions and/or constraints.

Project Manager (optional)

If known, provide the name of the person responsible for the planning phase of the project.

Department Head*

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Sponsoring Cabinet Member*

Indicate the DFA cabinet member who would sponsor this project

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Attachment (optional)

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