Section 1. General Information Date of Proposal: a) Institutional : Institution’s 6-digit Information Institution’s Name: Address: Dept of Labor b) List each campus where the entire program will be offered (with each institutional or branch campus 6-digit ): Program Locations List the name and address of (i.e., ) where courses will offered, or check here [ ] if not applicable: Program Title: c) Proposed Program (s) (e.g., A.A., B.S.): Information Number of Required Credits: Minimum [ ] If tracks or options, largest minimum [ ] Proposed : Proposed 6-digit : If the program will be accredited, list the accrediting agency and expected date of accreditation: If applicable, list the SED to which the program leads: 3 d) Name and title: Campus Contact Telephone: E-mail: e) Signature affirms that the proposal has met all applicable campus administrative and shared governance procedures for consultation, and the to support the proposed program. institution’s commitment Chief Executive E-signatures are acceptable. or Chief Academic Name and title: Officer Approval Signature and date: If the program will be registered jointly4 with one or more other institutions, provide the following information for each institution: Partner institution’s name and 6-digit : append Name, title, and signature of partner institution’s CEO (or a signed letter indicating approval of this proposal): If the proposed program leads to a professional license, a may need to accompany this proposal. 3 If the partner institution is non-degree-granting, see SED’s 4
Section 1. General Information a) Institutional Information Date of Proposal: Institution’s 6-digit : Institution’s Name: Address: Dept of Labor b) Program Locations List each campus where the entire program will be offered (with each institutional or branch campus 6-digit ): List the name and address of (i.e., ) where courses will offered, or check here [ ] if not applicable: c) Proposed Program Information Program Title: (s) (e.g., A.A., B.S.): Number of Required Credits: Minimum [ ] If tracks or options, largest minimum [ ] Proposed : Proposed 6-digit : If the program will be accredited, list the accrediting agency and expected date of accreditation: If applicable, list the SED 3 to which the program leads: d) Campus Contact Name and title: Telephone: E-mail: e) Chief Executive or Chief Academic Officer Approval Signature affirms that the proposal has met all applicable campus administrative and shared governance procedures for consultation, and the institution’s commitment to support the proposed program. E-signatures are acceptable. Name and title: Signature and date: If the program will be registered jointly4 with one or more other institutions, provide the following information for each institution: Partner institution’s name and 6-digit : Name, title, and signature of partner institution’s CEO (or append a signed letter indicating approval of this proposal): 3 If the proposed program leads to a professional license, a may need to accompany this proposal. 4 If the partner institution is non-degree-granting, see SED’s
2A_New-Program-Proposal-Undergraduate-Degree-2016-11-14.docx