Program Proposal for Academic and Curriculum Committee Approval

Before completing this form, notify the Department Chair of the intent to develop the program and any implications (faculty resources, workload, enrollment) within and across departments.

Program Proposal for Academic and Curriculum Committee Approval

Note: New courses associated with a new program or program revision, are submitted using the Course Outline Proposal format and are considered concurrently with the Program Proposal.

I.  Identification:

1.  Department:

2.  Program Title:

3.  Semester Hours/Credits:

4.  Enrollment Limits/Restrictions:

II.  Needs Assessment:

5.  Needs Assessment/Rationale for the program: (Evidence-based)

6.  Pertinent history:

7.  Targeted participants:

III. Program Description:

8.  Description and structure: (Catalog description)

9.  Distinguishing characteristics from current programs:

10.  Anticipated curriculum: (Course descriptions, and sequence to be included in the Program of Study. Indicate new courses.)

11.  Expected competencies:

12.  Admission requirements/prerequisites:

13.  Professional and state standards:

14.  Eligibility for areas of accreditation/certification of program and/or graduates:

15.  Communication with departments whose course offerings are affected:

IV. Administrative responsibilities:

16.  Faculty and Staff: (describe new and existing roles)

17.  School resources required for support: (library holdings, space, etc.)

V. References:

Chair notification date:

Department approval date:

Submitted by:

Date submitted to ACC:

ACC approval date:

Rev. 5/12/2016