• AAC Request for Action - Program Change Form

    Before you begin, please review the entire form to make sure you have all the necessary information for completing it. When you are finished, submit the form electronically by clicking the Submit button at the bottom of the form. Forms can only be accepted electronically.

     

    Submitter Name:   

    Submitter Email:   

    Date:   [None] Select a Date Delete the Date

    Department:  

    What program is changing?  

    What is the nature of the change?    

    What is the rationale for the change?    

    What are the staffing and cost impacts?    

    What implications does this change have for other departments and programs?

      

         Have you notified the relevant parties of the change?

    1.  
        

    Please list those you have contacted:     

    What implications does this change have for the Library?

      

         Have you notified the Library of the change?

      

    Please list those you have contacted:     

    What implications does this change have for the Center for Teaching and Learning?

      

    Have you notified the CTL of the change?

      

    Please list those you have contacted:     

    Please list any new Bulletin language for the program description:

     

    Please list the program requirements as they should appear in the Bulletin:

     

     

    Department Chair Name:   

    Department Chair Email:   

    Department Chair Approval: 

    1.   
          

    Date of Approval:   [None] Select a Date Delete the Date