Fillable Cpic Form 2019 (Bowie State University)

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Cpic Form 2019 (Bowie State University)

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Please contact Nicole Price for assistance at 301-860-3932 or nprice@bowiestate.edu | Page 1 of 3
Division of Information Technology
Capital Planning and Investment Content Form
ANALYZE PHASE
Requesting Division/Department: ______________________________________________________________
Project Title: _______________________________________________________________________________
Project Leader(s) Name/Title: _________________________________________________________________
Campus Contact Info: Telephone __________________ BSU Email: ___________________________________
Investment Category: Academic Administration Student Services Other: ________________
Project Overview
Purpose/Problem:___________________________________________________________________________
__________________________________________________________________________________________
Technical Documentation Attached? Yes No
(Technical documentation must be submitted with all project requests before the project request can be reviewed)
Is the project for a service or a product? Service Product
If service, consulting costs may be required.
If product, please provide vendor’s name and contact person: _______________________________________
__________________________________________________________________________________________
Expected Cost
Was the product already purchased? ________________ If so, when? _________________
Who approved the purchase? ______________________
Purchase Cost: _______________ Maintenance Fees _______________ Monthly Annual
Recurring Costs? Yes No Amount Recurring _______________
Please contact Nicole Price for assistance at 301-860-3932 or nprice@bowiestate.edu | Page 2 of 3
Required Approvals
Department Head:
___________________________ ___________________________ ____________
Print Name Signature Date
Division Vice President:
___________________________ ___________________________ ____________
Print Name Signature Date
DIT Use Only
Date Received by DIT:
Please contact Nicole Price for assistance at 301-860-3932 or nprice@bowiestate.edu | Page 3 of 3
Division of Information Technology
Capital Planning and Investment Content Form
Please complete the following questions in direct regard to the project. The information received is confidential and
used as a guide in analyzing your project request. Thank you for your cooperation.
I. Required IT functionality: Please describe the desired outcome of the IT service you are requesting.
II. Mis
sion Assessment: Please explain how the desired IT service aligns with the mission of your
department/division:
III. Mea
sures of Performance: Please outline the specific metrics that will be applied to determine the success
of this project.
IV. Ga
p and Deficiencies Identification: Please explain in detail the areas of improvement you anticipate as a
result of this project. Identify current areas that are deficient and how this project will provide
improvement.
Disclaimer: Before submitting this request form, please acquire the Department Head and Division Vice President signatures.
Once done, scan the form and submit it to Nicole Price at nprice@bowiestate.edu.
Revised: May 8, 2019
DIT Us
e Only
M
ove to Selection: Approved Not Approved
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Cpic Form 2019 (Bowie State University)

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Completed 22 July 2020

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