NDUS Procedures Program Approval. Forms to be used for. Stage I

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NDUS Procedures 403.1 Program Approval Forms to be used for Stage I

Academic Review Process Stage I Intent Announced Before Resources Committed Use for Stage I and Stage II New State Funds Required or Campus Mission Change Required? CTEC 1 CTEC 1 AAC Chancellor Action Board tified AAC Board Agenda Item Develop Stage II Develop Stage II Academic Review Process Stage II Roundtable Recommendations Addressed New Campus Mission or New State Funds Required? CTEC 1 /AAC and Chancellor Recommends CTEC 1 /AAC Replaces flow chart in academic plan 1 CTEC review of two year programs only Board Agenda Item Serve Similar Client Base as Existing Programs(s)? Board Consent Calendar Item :\\Stage I & II flow chart

Stage I Programs Under Consideration for Development or Extension to a New Site within Two Years Approval Status 1 Date Announced Campus Policy Program Under Consideration CIP Code Degree Code 2 Existing Program to New Site Anticipated Start Date Method of Delivery 3 Collaborative Program Possible Sites Funding Code 4 Approval Status 1 Degree Code 2 Method of Delivery 3 Multiple delivery options or requirements are included in Funding Code 4 (Can use more than one except when using code S) P=Proposed, no final action by AAC CP=Certificate Program parenthesis separated by comas e.g. (I,O,OC). Stand alone delivery methods (complete programs) are separated by commas e.g. O,T. A new program to be A=Additional Tuition Collections N=t recommended by AAC AAS=Associate of Applied Science available on campus and off campus through a combination of off campus in G=Grant or Contract A=Recommended by AAC AA=Associate of Arts person and online would be coded as: T, (OC,O) N=New State Funds (other than tuition) required (Always Bold) CC=Recommended by AS=Associate of Science R=Re-allocation C=Approved by Chancellor (always bold) DP=Diploma Program C=Correspondence S=Self Support B=Approved by Board (always bold) B=Bachelors I=IVN M=Masters O=Online S=Specialist OC=Off-Campus/In Person Ph.D.=Doctoral T=Traditional V=Videotape The purpose of this form is to communicate planning information to maximize intercampus collaboration and cooperation. Programs listed on the form have not been approved and a listing by one campus does not prevent a similar listing by another campus. Certificates of Completion and other short-term programs (less than certificate programs, see Board Policy 409) are not listed here. Data in this table reflect the best information currently available. Monthly additions are presented in bold print and deletions in overstrike. Procedure 403.1 #3 requires the addition of at least a one-paragraph statement regarding the relationship of the proposal to the campus mission and how the proposal meets the 2000 Higher Education Roundtable recommendations including employer demand. G:\Rebecca\400\Forms-Tempaltes\Stage I Blank Form.doc

NDUS Procedures 403.1 Program Approval Forms to be used for Stage II

Use for Stage I and Stage II Academic Review Process Stage I Intent Announced Before Resources Committed New State Funds Required or Campus Mission Change Required? CTEC 1 CTEC 1 AAC Chancellor Action Board tified AAC Board Agenda Item Develop Stage II Develop Stage II Academic Review Process Stage II Roundtable Recommendations Addressed New Campus Mission or New State Funds Required? CTEC 1 /AAC and Chancellor Recommends CTEC 1 /AAC Replaces flow chart in academic plan 1 CTEC review of two year programs only Board Agenda Item Serve Similar Client Base as Existing Programs(s)? Board Consent Calendar Item G:\Rebecca\400\Forms-Templates\Stage I & II flow chart

rth Dakota University System ACADEMIC AFFAIRS FORMAL REQUEST STAGE II COVER PAGE This form is to accompany each academic request to the System office for State Board of Higher Eduation or Chancellor action. The purpose of the form is to streamline the request process, promote consistency, and foster improved record-keeping. Institution: I. Action requested: Approval of new program, Policy 403.1, "Program Approval", SBHE approval Approval of new prefix Termination of program, Policy 403.1.1, "Program Termination", SBHE approval Place program on inactive status, Policy 403.1.3, "Inactive Programs", Chancellor approval Program title change, Policy 403.4, "Changes in Program Titles", Chancellor approval Corresponding degree title change Approval of new program fee, Policy 805.3. 2.d Distance education approval, Policy 404.1, "Distance Learning Credit Activities", Chancellor approval New Change Update tice Organizational change, Policy 307.1, "Institutional Organization-tice and Approval", SBHE approva New Change Termination Other, Policy, " ", approval Effective Date: II. III Program information (where applicable): NDUS Academic Program Code (this is an abbreviation of the Description; example UGBIO) Program or Organizational Title Old title (if title change) Major Minor 2 nd Major Short Title Description; (10 characters title) Program Prefix Requested Implementation Date (old and new dates cannot overlap) First Valid Term Academic Career (UG, G, L, M) Grading Scheme (UG, G, L, M, Ph) Academic Group; (division, college, school) Academic Organization/Department CIP Code Exact degree/award title (refer to NDUS Procedure 409 for title list): Diploma Bachelor of Science in Education (B.S.Ed) Certificate Program Master of Arts (M.A.) Associate of Arts (A.A.) Master of Science (M.S) Associate of Applied Science (A.A.S.) Doctorate in Education (Ed.D.) Associate of Science (A.S) Doctor of Philosophy (Ph.D.) Bachelor of Arts (B.A.) Bachelor of Science (B.S.) This title is currently not in Procedure 409 Authorized to Offer Degree Submitted by: Name: Date: For System Office use only: Office / / AAC / / / / Chancellor / / Board / / HECN / / CIP code Major code 12/2010 G:\Rebecca\400\Forms-Templates\Stage II Cover.xls

AAC: (date) (Institution Name) Policy(s) (number) and (name) Executive Summary (Name Institution) requests approval to offer.... This request is in accordance with SBHE policy (number) and (name). NEED: Address student need for this program; employment availability for student completing this program; and how need was assessed. COST: Estimate the cost of implementing and maintaining the program. Briefly describe existing resources (equipment, facilities, personnel, library materials, etc.) that are available to support this program. Identify any additional resources which will be required now or in the future, and the status of those resources. New funds are or are not being requested at this time. ACCREDITATION: Respond to the following questions if applicable: Does the institution plan to seek the approval of a professional accreditation association? If yes, does the proposed program meet the requirements of that association? RELATIONSHIP TO THE INSTITUTION: Describe the relationship of the proposed program to existing programs and campus mission. If appropriate, describe inter-departmental, inter-college, or other intra-institutional relationships. PROGRAM DELIVERY: How will this program be offered? Will the program delivery be traditional or distance education? If the program is to be offered through a distance education medium, what is the medium (e.g. IVN, Internet, video tape exchange)? VIABILITY: Provide an estimated number of students who will enroll and complete each year in the new program; the number of students who will be served each year in a distance education program; or the number of clients who will be served each year in a center request. DUPLICATION: Does the proposed program duplicate or augment others in the System? Is there potential duplication of other program client bases? RELATIONSHIP TO THE ROUNDTABLE: In one or two paragraphs, describe the impact of this program on the Roundtable cornerstones (economic development, education excellence, flexible and responsive system, accessibility, funding and rewards and sustaining the vision). You do not need to address each cornerstone individually. RECOMMENDATION: (to be completed by the NDUS office) G:/Rebecca/400/Forms-Templates/Executive Summary template.docx

Use for Stage II Account Description Academic Request Budget Worksheet Summary on New State Appropriated Funds Being Requested Title of Request Year 1 Year 2 Year 3 7/0*-6/0* 7/0*-6/0* 7/0*-6/0* Grand Total Faculty Salaries 0.00 0.00 0.00 0.00 Other Salaries 0.00 0.00 0.00 0.00 Fringe Benefits 0.00 0.00 0.00 0.00 TOTAL SALARIES AND BENEFITS 0.00 0.00 0.00 0.00 TOTAL OPERATING EXPENSES 0.00 0.00 0.00 0.00 Equipment 0.00 0.00 0.00 0.00 TOTAL PROGRAM EXPENSES 0.00 0.00 0.00 0.00 Total Access Fees 0.00 0.00 0.00 0.00 Total Base Tuition 0.00 0.00 0.00 0.00 Total other local funds (gifts, grants, etc.) internally reallocated 0.00 0.00 0.00 0.00 Total other local funds (gifts, grants, etc.) - new revenues 0.00 0.00 0.00 0.00 Less Tuition to Receiving Institution (0.00) (0.00) (0.00) (0.00) Appropriated Funds - New 0.00 0.00 0.00 0.00 Appropriated Funds - Internally Reallocated 0.00 0.00 0.00 0.00 TOTAL PROJECTED REVENUE 0.00 0.00 0.00 0.00 Explain if the requested funding is one time or base funding, and, the need for funding in future biennia. Operating Expenses include: travel, communications, postage, telephone, office supplies, advertising, printing and duplicating. G:\Rebecca\400\Forms-Templates\Academic Request Budget Worksheet (DO).xls 10/31/2006

Use for Stage II Academic Request Budget Worksheet for Proposals Which DO NOT Involve New State Funds Title of Request Account Description Year 1 Year 2 Year 3 7/0*-6/0* 7/0*-6/0* 7/0*-6/0* Grand Total Faculty Salaries 0.00 0.00 0.00 0.00 Other Salaries 0.00 0.00 0.00 0.00 Fringe Benefits 0.00 0.00 0.00 0.00 TOTAL SALARIES AND BENEFITS 0.00 0.00 0.00 0.00 TOTAL OPERATING EXPENSES 0.00 0.00 0.00 0.00 Equipment 0.00 0.00 0.00 0.00 TOTAL PROGRAM EXPENSES 0.00 0.00 0.00 0.00 Total Access Fees 0.00 0.00 0.00 0.00 Total Base Tuition 0.00 0.00 0.00 0.00 Total other local funds (gifts, grants, etc.) internally reallocated 0.00 0.00 0.00 0.00 Total other local funds (gifts, grants, etc.) - new revenues 0.00 0.00 0.00 0.00 Less Tuition to Receiving Institution (0.00) (0.00) (0.00) (0.00) Appropriated Funds - New 0.00 0.00 0.00 0.00 Appropriated Funds - Internally Reallocated 0.00 0.00 0.00 0.00 TOTAL PROJECTED REVENUE 0.00 0.00 0.00 0.00 Program will require new state appropriations in future biennia. If yes, how much annually? $ Operating Expenses include: travel, communications, postage, telephone, office supplies, advertising, printing and duplicating. G:\Rebecca\400\Forms-Templates\Academic Request Budget Worksheet (DO NOT).xls 11/7/01

1. Proposed Center Name: 2. Center s Address: 3. Center s Telephone: REQUEST to ESTABLISH a CENTER or INSTITUTE SBHE Policy 307.1 (submit Stage II cover page with this form) 4. Proposed Center s Directors and Formal Title: 5. Who has the authority to commit the proposed Center to financial obligation? 6. Describe the proposed Center s organizational structure. 7. Will there be an advisory committee? If so, list areas of representation. 8. What are the Mission, Goals, and Objectives of the Center? 9. Does establishment of the Center duplicate or enhance any existing campus programs? 10. Identify and explain relationships to other institutions, agencies, and/or academic departments. 11. Identify and explain relationships to state or federal programs. 12. Provide an assessment of the potential value to the campus and to the community. 13. How will the effectiveness of the Center (in terms of costs, stated objectives and benefits to clientele and the university) be evaluated? 14. What level of funding will be required (both immediate and future)? Will the Center use appropriated (hard) monies and/or grants and contracts (soft monies)? Provide actual dollars. 15. What are the space requirements for the proposed Center? How will they be met? 16. What are the equipment requirements for the proposed Center? How will they be met? 17. How many clients will be served by the Center? G:/Rebecca/400/Forms-Templates/Center-Institute template.docx

Distance Education Update tice Current Status: Host Campus: Program Title: Degree/award: CIP Code: Delivery Sites: Program Cycle: Update Information: Sites Delivery Method Discontinue Distance Education Delivery Other (Describe) Explanation: te: Provide enrollment information for existing programs and projections for proposed programs. Send to: rebecca.a.duben@ndus.edu January 22, 2004 G:\Rebecca\400\Forms-Templates\distance education update notice.doc