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    [submission_id_hidden submission_id-951 class:serialno "#00"]

    Service Area *

    Initiative submitted by *

    Initiative captures client voice? *
    YesNo

    Type of initiative *

    Initiative Name *

    Enter initiative name to maximum 10 words

    WHY? Brief description of Purpose - what issue will this initiative solve? Or what benefit will it achieve? *

    Enter description to maximum 20 words

    HOW? Initiative Description - describe how the initiative will be delivered / implemented *

    Enter description to maximum 200 words

    WHAT? Describe 'Desired End State' when initiative is fully implemented and embedded in the business *

    Enter description to maximum 200 words

    WHAT? Critical Success Factors that are essential to make this happen *

    Enter description to maximum 200 words

    WHO? Who would be the most appropriate person to lead this initiative? *

    IMPACT: Initiative must align to at least 1 guiding principle in each category.

    Guiding Principles

    Category 1 - select all that apply *
    Improve QualityOptimise RiskEnhance Reputation


    Maximum 50 words.


    Maximum 50 words.


    Maximum 50 words.

    Category 2 - select all that apply *
    Improve ProductivityIncrease RevenueReduce Cost


    Maximum 50 words.


    Maximum 50 words.


    Maximum 50 words.

    Net Contribution (+/-) $ *

    Measured as Incremental Revenue less Incremental Cost, or Cost Saving, or Incremental Revenue from Productivity gain. For ongoing initiatives, calculate financial impact over 3 consecutive months of full impact.

    WHEN? *

    Gate 3 (G3) *

    Auto-populated – 14 days from form submission date

    Gate 4 (G4) *

    Est. date when initiative will be fully implemented

    Gate 5 (G5) *

    Est. date when initiative will be fully embedded & desired impact realized

    PRIORITY (low to High) *

    1 = 'Low' ; 5 = 'High'