The IJIS Institute Thomas J. O'Reilly Innovation Award Nomination Form

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* 1. What is the name of the project?

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* 2. Please describe the project in detail. Include information on the maturity of the project and the implementation date.

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* 3. Please provide the complete set of contact information for the primary government representative/project manager involved with the project.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 4. Please provide the complete contact information for the industry solution provider's primary representative involved with the project.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 5. List key project stakeholders, including government agencies, citizens, and internal organizations.

Stakeholder 1

Stakeholder 2

Stakeholder 3

Stakeholder 4

Stakeholder 5

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* 6. What is the end goal of the project? Describe the approach/solution, including the types of data or information collected and/or exchanged. How does the project contribute to the strategic mission of the key government organization and other stakeholders? How does the project benefit end users? Describe the level of data security and the approach for accomplishing the requisite security standards

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* 7. Describe how the use of technology in this project enables significant information sharing, integration, and/or interoperability. Describe the use and value of any national or industry information sharing and/or interoperability standards incorporated in the project.

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* 8. What lessons learned or best practices have come from this project that can be replicated in other jurisdictions?

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* 9. Summarize why you recommend this project for the IJIS Institute Innovation Award? In your response, please be sure to describe what was most innovative and noteworthy about this project.

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* 10. Please include your contact information as the nominator.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number