INFORMATION & SERVICE REQUEST FORM

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COMPANY & CONTACT INFORMATION
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Address
Requested By (Required Field)
Position / Title
City
 
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Prov / State
 
Fax Number
Postal / Zip
 
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Web Address
   
       
BUSINESS INFORMATION
SECTOR & GEOGRAPHIC REGION:
Service Public Company - Single Site Regional ( Province)
Manufacturing Private Corporate - Multi Site National (Canada)
Distribution Public, Private, Partnership (P3) Corporate - Multi Division, / Site North America
Retail     Global
CONSULTING SERVICES OF INTEREST
Contracts Management
Purchasing Management
Capital Project Management
Other Project Management - Specify in Description
Other - Specify in Description Please provide a description of the Project / Initiative
Is there a formally approved budget and funding for this project / initiative Yes No
Is this initiative in alignment with an existing corporate strategic direction Yes No
If answered "NO", is this project / initiative intended to develop a strategic direction and plan for the area involved Yes No
BUSINESS NEED(S) OR DEFICIENCIES DRIVING THIS INITATIVE / PROJECT
Efficiencies Resources GAP - LImitations Project Management Corporate Goals & Objectives

Cost Reductions

Knowledge & Experience

 Project Focus & Commitment

Outcome Alignment

Process Improvement

Skills, Expertise & Competencies

 Manage Stakeholder Expectations

Budget Accountability

Resource Alignment

Currently at Resource Capacity

Manage Outcomes—Results

Strategic Alignment

Long Term Results

Conflict of Interest Factors

 Manage Integrative Planning

Build Partnerships / Alliances

Service Delivery Excellence

 Communication Barriers

Collaborative Engagement

Sustainable Long Term Results

Performance Optimization

Motivational / Behavioral Factors

 Deliverables on time—on budget

Resource Planning Integrity

Standardization

Freedom or Ability to Focus

Relationship Management

Shareholder Value (ROI)

Strategic Leveraging

  

Client Focused Approach

Organizational Engagement

Centralization

  

Cost Containment Measures

Service Sustainability
Value Maximization   Implementation Success

Best Practice

 

Positive Client Experience

Foster Creative, Innovative,

    Collaborative & Supportive Culture

Additional Comments:
Please insert any additional information you feel might be helpful in GAP analysis or project assessment.

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