Du educational program change form revised 12 11

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Du educational program change form revised 12 11

  1. 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. 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. 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. 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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