POC/Lab Request Form

GM Global IT Standards

September 25, 2007

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What Function Product Vendor

Decision:
Why:
Duration of POC/Lab Evaluation:

Who Process/Sector Executive Sponsor Requester System/Project

PTS:
ATS:

Objectives Business Objectives:

Technical Objective s:
Desired Outcomes:

Scop Project Information:

Number of Users:
e 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: Approval to Enter Lab: Yes No

Signature (Sponsoring IO):

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: Approval to Enter Lab: Yes No

Signature (CS&TO):

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 Item Name URL Proces Item UR
s Name
SDP-21 IT Bill of Materials POC Objective
IT Statement of Work (SOW) POC Outcome
Procurement
IT Purchase Order
Procurement
POC/Lab Details

POC/Lab Details

POC/Lab Details

1. What is the total purchase value of the hardware and

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

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.

Decision Required

POC/ Lab
Impact AssessmentFinal
Type: Request Stage: Approval
Function Product Product
Vendor
Decision:
Why: Business Objectives:
Duration of POC/Lab Technical Objective s:
What Evaluation: Desired Outcomes:
Objectives Business Objectives:
Technical Objective s:
Desired Outcomes:
Next Meeting:
Next Meeting:
Process / Executive Requester System /
Who
Sector Sponsor Project

Approval Factories IT ACM PIO

Standards Architect
Council
 , , SupportedW
aiting
Opinion,

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:
Scope 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: