DOCUMENT Program Project Review REVISION TITLE Business Owners

DOCUMENT # Program / Project Review REVISION # TITLE Business Owner(s): 2. 0 PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 1. 0 Project Details Agency: 0300 -0375 -005 -D 6/25/17 Instructions: 0300 -0375 -005 -C PROGRAM/PROJECT REVIEW Project Name: Project Manager: 2. 0 Executive Summary 3. 0 Cost Project: O&M: Actual (to date): TCO: Remaining: CPI: Budgetary Information: 4. 0 Schedule (Key Milestones / Decision Points / Key Deliverables) 5. 0 Key Issues and Risks • Key Milestone • Key Issue 1 • Decision Point • Key Issue 2 • Key Deliverable 1 • Key Risk 1 • Key Deliverable 2 • Key Risk 2 SPI: • 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 2. 0 6/25/17 Enterprise Project Management Office

Program / Project Overview DOCUMENT # REVISION # TITLE EFFECTIVE DATE 0300 -0375 -005 -D 2. 0 PROGRAM/PROJECT REVIEW FORM 6/25/17 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 2. 0 6/25/17 Enterprise Project Management Office

Program / Project Governance (Organization Chart) DOCUMENT # REVISION # TITLE EFFECTIVE DATE 0300 -0375 -005 -D 2. 0 PROGRAM/PROJECT REVIEW FORM 6/25/17 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 2. 0 6/25/17 Enterprise Project Management Office

Program / Project Financial Summary DOCUMENT # REVISION # TITLE EFFECTIVE DATE 0300 -0375 -005 -D 2. 0 PROGRAM/PROJECT REVIEW FORM 6/25/17 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 2. 0 6/25/17 Enterprise Project Management Office

Program / Project Schedule DOCUMENT # 0300 -0375 -005 -D REVISION # TITLE 2. 0 PROGRAM/PROJECT REVIEW FORM EFFECTIVE DATE 6/25/17 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 2. 0 6/25/17 Enterprise Project Management Office

Issues / Risks and Mitigation DOCUMENT # REVISION # TITLE EFFECTIVE DATE 0300 -0375 -005 -D 2. 0 PROGRAM/PROJECT REVIEW FORM 6/25/17 Instructions: 0300 -0375 -005 -C PROGRAM/PROJECT REVIEW • Key Issue 1 - Timeline / Owner • Key Issue 2 - Timeline / Owner • Key Risk 1 - Mitigation / Timeline / Owner • Key Risk 2 - Mitigation / 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 2. 0 6/25/17 Enterprise Project Management Office

Closing – or – Decision DOCUMENT # REVISION # TITLE EFFECTIVE DATE 0300 -0375 -005 -D 2. 0 PROGRAM/PROJECT REVIEW FORM 6/25/17 Instructions: 0300 -0375 -005 -C PROGRAM/PROJECT REVIEW • Additional Information • Closing / Concluding Comments • Questions? or • Recommendations / Alternatives Discussion • Questions? • 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 2. 0 6/25/17 Enterprise Project Management Office