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Du educational program change form revised 12 11
Du educational program change form revised 12 11
Du educational program change form revised 12 11
Du educational program change form revised 12 11
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Du educational program change form revised 12 11

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  • 1. EDUCATIONAL PROGRAM CHANGE Request Form (Use for program proposal, significant modification of program [three or more changes], or for deletion of program) Deadline for Submission for 2013-14 catalog: March 15, 2013Date: __________________ Title of request: _________________ (Provide a three- to four-word description of request.)Educational Program __________________________________________________________Department/School ____________________________________________________________College ______________________________________________________________________Change Requested (Check all that apply)Educational Program NameModification of an Existing Educational Program Educational Program Retained as Minor – Attached Curriculum Educational Program Not Retained as Minor Significant modification (more than two courses), attachments provided: current curriculum – educational program proposed curriculum – educational program student learning outcomes – educational programReplacement of an Educational Program If yes, which program? __________________________New Educational Program Statement of Need - Attached New Program Proposal: Curriculum Attached Student Learning Outcomes AttachedDeletion of Educational Program Educational Program Curriculum - Attached Educational Program Review – AttachedChange Relevant and/or Needed to Support QEP? If yes, explain.____________________________________________________________________________________________________DU Educational Program Change Form Page 1 Office of Academic Affairs Last modified 2/2011 l
  • 2. Change Relevant and/or Needed to Support Compliance with Accreditation Standards? If yes,explain._______________________________________________________________________Abstract of Proposed Program (if new or significantly changed):Student Learning OutcomesRationale for RequestCurrent Status (Check all that apply) Status with Change Program Includes Course in Core  Program Includes Requirement of Another Major Meets All SACS, Educational Program Criteria Program Enjoys Additional Accreditation Status If yes, which agency? _______________ANTICIPATED IMPACT of Requested Change(s)?None Yes (If yes, explain.) Accreditation implication_________________________________________ Budget ___________________________________________________________ Instructional support (faculty) _________________________________________ Instructional space __________________________________________________ Effect on other academic programs _____________________________________ Cross-listed with other course(s) - Which College (s)?______________________ Current prerequisite for other course(s) __________________________________ Proposed prerequisite for other course(s) ________________________________ Duplicates existing course ____________________________________________REVIEW/APPROVAL: Name /Signature DateReview within CollegeDU Educational Program Change Form Page 2 Office of Academic Affairs Last modified 2/2011 l
  • 3. Coordinator, Educational Program_________________________________________ _____Chair, Department/School________________________________________________ _____Chair, Curriculum Committee, College ___________________________________ _____Dean, College _______________________________________________________ _____Review External to College Signature DateIf Cross-Listed Course, Dean - Second College ______________________________ _____Chair, University Curriculum Committee __________________________________ _____Faculty Senate, President ______________________________________________ _____Faculty General Assembly, President _____________________________________ _____Provost and Senior Vice President for Academic Affairs _______________________ _____Senior Cabinet, President _______________________________________________ _____Board of Trustees, President _____________________________________________ _____Dean, Records/Registration ____________________ Change(s) Made:__ Date Recorded: ____ Note to Department/School and College Curriculum Committee Both a complete, signed hard copy and digital copy along with a curriculum checksheet must be submitted one week PRIOR to the meeting of the University Curriculum Committee.DU Educational Program Change Form Page 3 Office of Academic Affairs Last modified 2/2011 l
  • 4. Please submit to the Chair, University Curriculum Committee.DU Educational Program Change Form Page 4 Office of Academic Affairs Last modified 2/2011 l

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