Harwood Union Middle/High School
Proposal for Change H-1
Title of Proposed Change: _______________________________________________________
Name of Champion(s) – no more than two: _________________________________________
Date of Submission: _______ Email/Phone of Champion(s): ____________________
Other Group Members: _________________________________________________________
Please write in complete sentences in response to the following areas.
Write a description of the proposed change.______________________________________________
Why is this change necessary and important?
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Who will benefit from this change and how? _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
What’s wrong with the way things are right now?
_______________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
What is the timeframe for the change? What needs to get done by when?
Task Proposed Deadline
1.
2.
3.
Who needs to be involved in the change in order for it to be successful?
________________________________________________________________
________________________________________________________________
Estimate how much the change will cost:
Item Cost
1.
2.
3
Total Estimated Cost:
Please submit this form to Duane Pierson, Lisa Atwood, Dorinne Dorfman, Michael Woods, or Sue Duprat.
You can also download it from the Harwood Website.
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