Company Information
Company:
Address:
City:
State:
ZIP Code:
Industry:
Revenues:
# Employees:
Website:
Date Founded:
Public: Private:
Executive Information
CIO or Technology Executive Name:
Title:
Phone:
Email:
Assistant:
CEO or Business Executive Name:
Company PR Representative Name:
Person Submitting Application Name:
Participation Availability
If selected as recipient of award, is the CIO or Technology Executive Named Above Willing to:
Attend Awards Dinner 12-4-07?
Participate as SIM Speaker?
Project or Initiative Information
Please be specific and wherever possible use supporting data. Applications that provide details about an initiative and its impact on the business have a better chance of winning than applications that merely summarize a project.
1. Describe your project or initiative. Describe why it was undertaken, when, what it does, how it works and its business purpose:
2. Which business function primarily benefits from this project or initiative?
3. What is the primary business goal of the project?
4. Which technologies have been most important to executing the project? What vendors supply these technologies?
5. What is innovative about your project or initiative?
6. What major challenges or risks did your organization face during execution of your project or initiative, and how did you address them?
7. Who besides the IT organization was involved with the project?
8. What was the IT department’s role?
9. How much money and resources did you invest in the project?
10. What is the business value it created? What is the time frame for the full payoff of the project or initiative?
11. Please describe the business results generated by the project or initiative
Application Authorization
I authorize SIM to verify the information provided on this form and follow-up with phone interviews if needed.
Signature of applicant
Date