POC/Lab Request Form

GM Global IT Standards September 25, 2007
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What

Function
Decision: Why: Duration of POC/Lab Evaluation:

Product

Vendor

Who

Process/Sector

Executive Sponsor

Requester

System/Project
PTS: ATS:

Objectives

Business Objectives: Technical Objective s: Desired Outcomes:

Scop e

Project Information: Number of Users: Number of Sites: Number of Regions:

Review

Participants

IT Stds Rep

ACM

PIO Architect

Taxonomy:

Approval of POC/Lab Required by GM Sponsoring IO: Approval of POC/Lab Required by GM Sponsoring IO: Approval of POC Required by GM Sponsoring IO: Approval of POC/Lab Required by GM Sponso IO:
Date Reviewed: Signature (Sponsoring IO): Approval to Enter Lab: Yes No

Approval of POC/Lab Required by GM CS&TO (Fred Killeen): Approval of POC/Lab Required by GM CS&TO (Fred Killeen): Approval of POC Required by GM CS&TO (Fred Killeen): Approval of POC/Lab Required by CS&TO (Fred Killeen):
Date Reviewed: Signature (CS&TO): Approval to Enter Lab: Yes No

Reference or Attach Relevant Supporting Materials Reference or Attach Relevant Supporting Materials Reference or Attach Rele Supporting Materials Reference or Attach Relevant Supporting Materials Refere or Attach Relevant Supporting Materials Reference or Attach Relevant Suppor Materials Reference or Attach Relevant Supporting Materials Reference or At Relevant Supporting Materials

Check-off which supporting material you have attached. Electronic format preferred. Provide URLs. Check-off which supporting material you have attached. Electronic format preferred. Provide URLs. Check-off supporting material you have attached. Electronic format preferred. Provide URLs. Check-off which support material you have attached. Electronic format preferred. Provide URLs. Check-off which supporting material have attached. Electronic format preferred. Provide URLs. Check-off which supporting material you have attac Electronic format preferred. Provide URLs. Check-off which supporting material you have attached. Electro format preferred. Provide URLs. Check-off which supporting material you have attached. Electronic forma preferred. Provide URLs.

Process
SDP-21 IT Procurement IT Procurement

Item Name
IT Bill of Materials Statement of Work (SOW) Purchase Order

URL

Proces s
POC POC

Item Name
Objective Outcome

UR

POC/Lab Details

POC/Lab Details POC/Lab Details
1. What is the total purchase value of the hardware and 1. 1. 1.
software used in the POC/Lab project? Provide a list of equipment or attach an IT Bill of Materials (BoM). Does your POC/Lab evaluation require hardware or software beyond that in the IS&S Lab now? If yes, provide a Purchase Order. We agree that product(s) installation will be limited to the Lab environment and thereby insulated from GM production systems. 1) 2) Yes Yes Yes Yes 3) 4) No No Signature: Signature:

You have completed the IT Architecture & Standards POC/Lab Request Form. Thank you.

Please forward this document and all supporting materials to your organization IT Standards Council Representative to review, secure the IO signature approval then submit it to IT Standards Management at IT Standards Mailbox, or submit it directly through the Collaborative Innovation Network (CIN) IT Standards site.

Definition:
Proof-of-concept (POC) – a test to demonstrate the capability of a theoretical design typically limited to a laboratory environment; An evaluation of a technology/solution/application/product designed to test its impact and integrity when exposed to real-world (i.e.

production) scenarios in a GM-like environment. A distinguishing characteristic of a POC is that if successful it may become the basis for an IT Standard request.

1

Decision Required POC/ Lab Request
Function
Decision: Why: Duration of Evaluation:

Type:

Stage: Product

Impact AssessmentFinal Approval

Product Vendor
Business Objectives: Technical Objective s: Desired Outcomes: Business Objectives: Technical Objective s: Desired Outcomes: Next Meeting: Next Meeting:

What

POC/Lab

Objectives

Who

Process Sector

/ Executive Sponsor IT Standards Council

Requester

System Project PIO Architect

/

Approval

Factories

ACM

,

,

SupportedW aiting Opinion,

Scope

Project Information: Number of Users: Number of Sites: Number of Regions: Project Information: Project Information: Project Information: Project Information: Number of Users: Number of Sites: Number of Regions: Number of Users: Number of Sites: Number of Regions: Number of Users: Number of Sites: Number of Regions: Number of Users: Number of Sites: Number of Regions: GM IT Standards Taxonomy: