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IT SMALL PROJECT REQUEST Project Name Request Date Project Type ☐ New Application ☐ Application Upgrade ☐ Other Requestor Name Phone Department Division IT Department Sponsor Phone IT Account Coordinator Phone PROJECT OVERVIEW Description: What is being proposed? Provide a brief description. Timeframe: What is the estimated start and end date? Estimated Start Date: Project End Date Estimated End Date: Project End Date ESTIMATED HOURS Requirements Design/RFP Architecture Ready Development/Configuration Testing Operation Ready Go Live APPROVALS KEY STAKEHOLDERS DATE APPROVAL SIGNATURE