Project Charter - Sample

Purpose: This document assists in analyzing, evaluating, and providing concurrence for a proposed  project. An approved Project Charter formally recognizes the existence of a project.

Instructions: The Project Manager or Business Analyst completes this form in conjunction with the Business Contact and Chief (as appropriate) for approval by the applicable Division Chief and the IT  Division Chief.   This completed, signed form is required by IT to continue developing a Project Plan, other project documents, or any project work.

Division Information

Division/Program:

 

Date:

 

Division Contact:

 

Cost Center :

 

IT Bus. Analyst:

 

 

Proposed Project Information

1

Proposed Project Name:

 

2

Business Problem:

 

3

Project Scope:

 

4

Project Objectives: Objectives should be concise and SMART: Specific, Measurable, Attainable, Realistic and Time-Limited.

Proof of Concept:

Determination of Resources:

Determination to Go Forward:

5

Proposed Project Team:

Title

Individual

Primary Customer Contact

     

Project Manager, IT Business Analyst

IT Business Analyst, Technical Lead

IT Developer

   

IT Network Analyst

     

QA Analyst

     

Technical Writing

     

6

Estimated Project Timeline: Enter date ranges. This timeline represents a probable timeline; without further analysis firmer milestones are not possible. These are strictly estimates.

This project is estimated to begin on:

 

Important / Mandated Dates:

 

This project should be implemented by:

 

7

Estimated Project Costs: The following cost estimates represent a probable cost of this project using the Team’s understanding of the proposed project. This cost estimate is not the final or ongoing project cost, and is presented solely to give the decision makers an idea of the potential costs associated with this proposed project.

Cost Driver

Estimated Cost

Ongoing Costs

Division Staff Costs (labor)

 

 

ITS Staff Costs (labor and contractor)

 

 

Hardware / Software Costs

 

 

Other Costs (travel, subscription service, etc.)

 

 

Total Estimated Costs

$0.00

 

TO BE USED FOR ESTIMATION PURPOSES ONLY.

8

Key Issues & Assumptions:

 

9

(HIPAA, SOX, Etc.) Impact:

 

10

Project Charter Approval: By approving this Project Charter, ITS agrees to begin work on the project according to the initial directions agreed to in this Charter. An approved Project Charter commences a Project and serves to initiate the Business Analyst to develop three essential planning documents for this project: Business Requirements, Financial Analysis, and the Project Plan. The Division understands that the Cost Center listed in the first section will be charged for the Analyst’s and other Project Staff’s time forward on this project.

 

 

Business Unit Chief (name)                                (date)

Chief, IT                                               (date)

11

Approver’s Comments: