PVC Form 92A - 0880

SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE
REQUEST FOR A NEW ACADEMIC PROGRAM

Program requests involving a new degree, certificate, or academic major should use this form as a cover sheet. Units submitting requests for new programs should transmit the required information through academic channels. Related course additions, modifications, or deletions should be submitted on the appropriate Forms 90.

Degree Title __________________________________________________________________

Major_______________________________________________________________________

Specialization(s)________________________________________________________________

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APPROVED: DATE:

 Department or Faculty ______________________________________________________

College/School Curriculum
  Committee Chairperson _____________________________________________________

College/School Dean ________________________________________________________

Curriculum Council or
   Graduate Council Chairperson ________________________________________________

Graduate School Dean _______________________________________________________

Provost and Vice Chancellor for
   Academic Affairs _________________________________________________________

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RECORD:  DATE:

a. Action, Board of Trustees ____________________________________________________

b. Action, Illinois Board of Higher Education ________________________________________

c. Effective Date for implementation _______________________________________________

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.

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