Name

Email Address

Phone Number

Are you a SAEA member? Are you a SAEA member? Yes No

Project Title (use a name descriptive of the project)

Project Leader Name: If identified, name person(s) that you would recommend to be involved in this project.

Project Purpose and Scope: What is the problem this project solves, and/or what benefit or impact does it provide? Who is the beneficiary?

Project Timeline: Is this project urgent? What is the expected start and end dates for the project

Project Budget & Funding: What is the anticipated budget and where could project funding come from?

Resources: Are there any special requirements of personnel or materials required for completing the project?

Other Issues: Are there special considerations like permits, safety issues or commercial limitations? Do you have any additional comments about the project?