Program / Project Review PROGRAM/PROJECT REVIEW FORM

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Program / Project Review PROGRAM/PROJECT REVIEW FORM DOCUMENT # 0300-0375-005-D REVISION # 1.0 TITLE PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 3/30/15 1.0 Project Details Instructions: 0300-0375-005-C PROGRAM/PROJECT REVIEW Agency: Project Name: Business Owner(s): Project Manager: 2.0 Executive Summary 3.0 Cost Project: O&M: TCO: Actual (to date): Remaining: CPI: Budgetary Information: 4.0 Schedule (Key Milestones / Decision Points / Key Deliverables) Key Milestone Decision Point Key Deliverable 1 Key Deliverable 2 SPI: 5.0 Key Issues and Risks Key Issue 1 Key Issue 2 Key Risk 1 Key Risk 2 Key Risk 3 PRINTED COPIES FROM THE ON-LINE SYSTEM ARE CONSIDERED UNCONTROLLED. IT IS THE RESPONSIBILITY OF THE PERSON USING A PRINTED COPY TO VERIFY THE COPY THEY HAVE IS THE LATEST REVISION IN THE ON-LINE SYSTEM. Program/Project Review Form Page 1 of 7 State of North Carolina Version 1.0 3/30/15 Enterprise Project Management Office

Program / Project Overview DOCUMENT # 0300-0375-005-D REVISION # 1.0 TITLE PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 3/30/15 Instructions: 0300-0375-005-C PROGRAM/PROJECT REVIEW Executive Summary Goals Objectives Expected Results / Impact / Benefits PRINTED COPIES FROM THE ON-LINE SYSTEM ARE CONSIDERED UNCONTROLLED. IT IS THE RESPONSIBILITY OF THE PERSON USING A PRINTED COPY TO VERIFY THE COPY THEY HAVE IS THE LATEST REVISION IN THE ON-LINE SYSTEM. Program/Project Review Form Page 2 of 7 State of North Carolina Version 1.0 3/30/15 Enterprise Project Management Office

Program / Project Governance PROGRAM/PROJECT REVIEW FORM (Organization Chart) DOCUMENT # 0300-0375-005-D REVISION # 1.0 TITLE PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 3/30/15 Instructions: 0300-0375-005-C PROGRAM/PROJECT REVIEW PRINTED COPIES FROM THE ON-LINE SYSTEM ARE CONSIDERED UNCONTROLLED. IT IS THE RESPONSIBILITY OF THE PERSON USING A PRINTED COPY TO VERIFY THE COPY THEY HAVE IS THE LATEST REVISION IN THE ON-LINE SYSTEM. Program/Project Review Form Page 3 of 7 State of North Carolina Version 1.0 3/30/15 Enterprise Project Management Office

Program / Project Financial Summary DOCUMENT # 0300-0375-005-D REVISION # 1.0 TITLE PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 3/30/15 Instructions: 0300-0375-005-C PROGRAM/PROJECT REVIEW PRINTED COPIES FROM THE ON-LINE SYSTEM ARE CONSIDERED UNCONTROLLED. IT IS THE RESPONSIBILITY OF THE PERSON USING A PRINTED COPY TO VERIFY THE COPY THEY HAVE IS THE LATEST REVISION IN THE ON-LINE SYSTEM. Program/Project Review Form Page 4 of 7 State of North Carolina Version 1.0 3/30/15 Enterprise Project Management Office

Program / Project Schedule DOCUMENT # 0300-0375-005-D REVISION # 1.0 TITLE PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 3/30/15 Instructions: 0300-0375-005-C PROGRAM/PROJECT REVIEW Project Gantt Chart with schedule depicting Key Milestones, Decision Points, Key Deliverables, etc. Associating costs with summary phases, tasks and deliverables encouraged (adds value). PRINTED COPIES FROM THE ON-LINE SYSTEM ARE CONSIDERED UNCONTROLLED. IT IS THE RESPONSIBILITY OF THE PERSON USING A PRINTED COPY TO VERIFY THE COPY THEY HAVE IS THE LATEST REVISION IN THE ON-LINE SYSTEM. Program/Project Review Form Page 5 of 7 State of North Carolina Version 1.0 3/30/15 Enterprise Project Management Office

Issues / Risks and Mitigation DOCUMENT # 0300-0375-005-D REVISION # 1.0 TITLE PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 3/30/15 Instructions: 0300-0375-005-C PROGRAM/PROJECT REVIEW Key Risk 1 - Mitigation / Timeline / Owner Key Risk 2 - Mitigation / Timeline / Owner Key Issue 1 - Timeline / Owner Key Issue 2 - Timeline / Owner PRINTED COPIES FROM THE ON-LINE SYSTEM ARE CONSIDERED UNCONTROLLED. IT IS THE RESPONSIBILITY OF THE PERSON USING A PRINTED COPY TO VERIFY THE COPY THEY HAVE IS THE LATEST REVISION IN THE ON-LINE SYSTEM. Program/Project Review Form Page 6 of 7 State of North Carolina Version 1.0 3/30/15 Enterprise Project Management Office

PROGRAM/PROJECT REVIEW FORM Closing – or – Decision DOCUMENT # 0300-0375-005-D REVISION # 1.0 TITLE PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 3/30/15 Instructions: 0300-0375-005-C PROGRAM/PROJECT REVIEW Additional Information Closing / Concluding Comments Questions? or Recommendations / Alternatives Discussion Decision PRINTED COPIES FROM THE ON-LINE SYSTEM ARE CONSIDERED UNCONTROLLED. IT IS THE RESPONSIBILITY OF THE PERSON USING A PRINTED COPY TO VERIFY THE COPY THEY HAVE IS THE LATEST REVISION IN THE ON-LINE SYSTEM. Program/Project Review Form Page 7 of 7 State of North Carolina Version 1.0 3/30/15 Enterprise Project Management Office