Page 19 - The Six Sigma Project Planner

Worksheet 1. Project Charter Statement

Project Name/Number

Sponsoring Organization

Project Sponsor Name: Phone:

Office Location: Mail Stop:

Project Black Belt Name: Phone:
Office Location: Mail Stop:

Project Green Belt Name: Phone:

Office Location: Mail Stop:
Team Members (Name) Title / Role Phone Office Location Mail Stop

Principal Stakeholders Title / Role Phone Office Location Mail Stop

Date Chartered: Project Start Date: Target Completion Date:

Revision: N/C Number: 0 Date:
Sponsor Approval Signature:

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