Sample MOM Form

Project Name & Lead

1: Publication | Project Title:
2: Write a short description describing the publication/project. These sentences are used to market your publication or project to internal and external audiences after completion. 
3: List keywords/phrases that a broader audience would use when searching for your publication project.  Separate each keyword/phrase with a comma.
4: Lead Author | Project Lead: (Name & Email Address) 
5: Department | Unit: (EX: 4-H Youth Development)

Media Format

1: Media Format: (Choose all that apply)
2: New | Revision | Reprint: (New, Major Revision, Minor Revision, or Publication Reprint)
3: For all new publications please upload the manuscript. For all revision please upload the original document and markup with changes/corrections. Combine all files into a single folder on Box. "Share" the Box link in the text box below. Please remember to include original images as separate files from the document. (Insert "Box" Link)
4: For non-publication formats, proposed date for delivering material for development:
5: Will this media be printed: (Yes or No)
6: Interest Group and Issue Team: (select all that relate, EX.  4-H Youth Development, Livestock Systems, Community Vitality Initiative)
7: Subject matter focus of this resource:
8: How will this media product support the outcomes of the Action Team? (How will the product be used? Who is the target audience?)

Printing

1: If Yes, How will this Publication be printed? (Color, B&W, Web Only)
2: If being printed, how many?
3: Specific instructions/requests for printing and distribution: (EX. the number of copies to the author)
4: If a revision, should existing copies be removed from inventory? (Yes or No)
5: Previous number and title of publication:

Cost

1: Please provide a cost estimate. (Provide for all media projects other than standard NebGuide. Include production, editing, layout, and reproduction costs in estimate; show only total cost.)
2: Account | Cost Center Number:
3: Amount requested from Extension Administration: (Leave blank if no money is requested) 

Peer Review | IP Permission

1: All new publications and major revisions require a minimum of three reviewers. Please provide names below. Refer to Page 2 of the Publications Guidelines for appropriate reviewers. (Reviewer 1,2,3)
2: Is the peer review process complete? (Yes or No)
3: Please check this box ensuring the following: I ensure this publication/media resource does not contain copyrighted material or that if it does, I have obtained written permission to use the copyrighted material, and am attaching copies of the permission. (I do)