PVCA Form 92B - 0780
SOUTHERN ILLINOIS UNICERSITY AT EDWARDSVILLE
REQUEST FOR TERMINATION OF AN ACADEMIC PROGRAM

Requests for termination of an entire degree, certificate, or academic major should use this form as a cover sheet.

This is to request termination of an academic program, as follows:

ANSWER THE FOLLOWING QUESTIONS IN THE SPACE PROVIDED OR WITH APPROPRIATE ATTACHMENTS.

1. Submit an analysis of the program to be terminated, including:

2. List the academic units with which this request has been coordinated and attach the units' responses.

3. Attach pertinent sections of previous program reviews and/or special analytic studies supporting the requested termination.

APPROVED:                                                                                    DATE:

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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.

0311-31 9/96