Submit a Project Proposal

Requestor Name: *

First Last

Email: *

Project Title: *

Project Description & Goals: *

Please indicate the business need and how the project aligns with institutional goals. Please include what success for this project will look like and how this will be measured.

Executive Sponsor(s): *

Please attach a statement of support from the executive sponsor(s) (e.g., dean, department chair).

Accepted file types: docx, pdf, Max. file size: 97 MB.

Additional Project Stakeholders: *

(e.g., primary investigators, faculty members, course directors, courses impacted, office directors)

Requesting Department/Organization: *

Intended Uses: *

(Please check all that apply)

Education
Research
Communication
Marketing
Publication
Other (Please indicate below):

Other:

Please Note: If this content is intended for marketing purposes, please ensure this proposal has been approved by the UNC SOM Integrated Communications team.
School of Medicine Integrated Communications - School of Medicine Intranet (unc.edu)

Will this content be used internally, externally, or both? *

(Please check one)

Internally
Externally
Both

Target Audience(s): *

(Please check all that apply)

Other:

Please Note: If patients are included in the target audience, you are required to vet proposed patient-facing content through UNC Health’s Integrated Communications' Director of Content & Patient Communications (radhika.bombard@unchealth.unc.edu).

Have you already vetted this proposal through UNC Health’s Integrated Communications office?

Will this content be used in any courses? *

Yes
No

Please list the course(s) below: *

What are the learning objectives for this content? *

Will the content be optional or mandatory? *

Optional
Mandatory

Describe the mode of teaching used to deliver the content (e.g. flipped, didactic, asynchronous): *

Type(s) of Media & Anticipated Length: *

Please indicate the type of media desired and anticipated length of finished content (e.g. a video, video series (include number of videos), podcast / audio only, interactive content etc.)

Intended Distribution Methods: *

(Please check all that apply)

SOM Website (embedded)
External Website (embedded)
LMS module (embedded)
Streaming (content hosted on Panopto, YouTube, etc.)
Podcast
Livestream (live event or presentation streamed via YouTube or Zoom)
Broadcast (pre-recorded or live for use on closed-circuit or media outlets, e.g., TV, radio)
In-person (e.g., facilitator-led workshop or course)
Other (Please indicate below):

Other:

Will this involve sensitive or difficult information? *

Yes
No

Please describe the type(s) of sensitive information below: *

(e.g., Protected Health Information (PHI), intellectual property, graphic content, minors, violence, controversial content)

Project Timeline: *

Please include all known deadlines/important dates for consideration. If there are no existing deadlines, please indicate this flexibility below.

Project Lifespan: *

(e.g., what is the expected lifespan of the project’s content and how often will it need to be updated?)

Existing Resources: *

(e.g., staff, interns, actors, media assets, props)

Budget: *

(e.g., $20,000, $5-$10K. If this budget has already been allocated to specific resources, please include these in your description below)

Is this project request tied to a research grant or presentation proposal? *

Yes
No

Please describe the entity you are submitting this work to below: *

Will the outcome of this project be used for monetary gains? *

Yes
No

Please describe the nature of the anticipated monetary gains below: *

Types of Support Needed: *

(Please check all that apply)

Script Development
Casting
Location Scouting
Production (media recording)
Editing
Module Development
Distribution
Other (Please indicate below):

Other:

Phone

This field is for validation purposes and should be left unchanged.

Project Proposal Application for IMS Support: