PROJECT REQUEST
1.0overvIEW
SEND TO WHEN COMPLETE
Project Title / Click here to enter title. /Project Owner / Click here to enter title. /
Function project is for? / ☐Business & Finance / ☐Personnel / ☐Pupil Services / ☐Technology Services
☐Instruction / ☐Planning / ☐Support Services
Is There a Deadline This Project Must Meet? / ☐
☐ / Yes. That date is: mm/dd/yyyy
No, just complete it ASAP
Project Budget:
Funding Source:
Click here to enter title. /
Click here to enter title. /
Which factor is most important to your project? / Choose an item. /
Project Overview:
Provide a brief clear description of what you want to do. The goal(s) of this project is/are... The project will deliver….
Business Objectives / Requirements:
Beyond completing the project, briefly describe what “success” looks like to you with respect to the proposed project (e.g., workflow processes, key functionality, key data captured, reports, etc.)
2.0Approval / Signatures
*Tip – Enter the names before you print the form for signature.
Role / Name / Signature / DateCabinet Member (when applicable) / Click here to enter name. /
Department Director / Click here to enter name. /
Principal (as applicable)/ Supervisor / Click here to enter name. /
Project Owner / Click here to enter name. /
Application Owner (If Needed) / Click here to enter name. /
The signatures above indicate an understanding of the purpose and content of this document by those signing it. By signing this document, they agree to this as the Request Scope Statement document.
3.0DTS Technology Request Response
After careful review and consideration the above request is (☐Approved ☐ Not Supported or Recommended)by the Department of Technology Services.
Rationale:
[A brief summary will be provided if the Department of Technology Services does not support or recommend this project.]
______
Assistant Superintendent for Technology ServicesDate
Dr. Rich Contartesi
Loudoun County Public Schools
Department Of Technology Services1 of 2
Project Management Office