PVC Form 91B - 0780
SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE
REQUEST FOR TERMINATION OF A PORTION OF AN ACADEMIC
Requests for termination of program components less extensive
than a degree, certificate, or major should use this form as a cover sheet.
This is to request termination of a portion of an academic
program, as follows:
Degree title ____________________________________________________________________
ANSWER THE FOLLOWING QUESTIONS ON APPROPRIATE ATTACHMENTS.
Major(s) in ____________________________________________________________________
Specialization(s) in ______________________________________________________________
Minor(s) in ____________________________________________________________________
Degree granting unit _____________________________________________________________
Specific component of the program to be terminated is:
1. Submit an analysis of the component to be terminated,
2. List the academic units with which this request has been
coordinated and attach the units' responses.
Reason(s) for terminating the component.
Characteristics of the current clientele.
Projections of clientele were the program component to be
Methods planned to serve clients currently involved in the
Effect of the termination on other programs in the institution.
Effect (academic and fiscal) of the termination on other
activities of the sponsoring unit.
Arrangements to be made for affected faculty, staff, and
students, and for affected equipment and physical facilities.
A list of regular and elective courses to be dropped in connection
with the termination. (These requests should be submitted via Forms 90B.)
Copy of catalog description to be deleted.
Proposed effective date of program termination.
3. Attach pertinent sections of previous program reviews
and/or special analytic studies supporting the requested termination.
Department or Faculty Chairperson __________________________________________________
The original of this form will be retained in the Office
of the Provost. Copies of forms for Graduate programs will be retained
in the Graduate School. No other routine copies will be made.
College/School Curriculum Committee ________________________________________________
College/School Dean _____________________________________________________________
Curriculum Council or
Graduate Council Chairperson ____________________________________________________
Graduate School Dean ____________________________________________________________
Provost and Vice Chancellor ________________________________________________________