Fillable CSUDH Program Discontinuation Form Checklist ed on Program (California State University, Dominguez Hills)

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CSUDH Program Discontinuation Form Checklist ed on Program (California State University, Dominguez Hills)

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The CSUDH Program Discontinuation Form Checklist ed on Program (California State University, Dominguez Hills) form is 4 pages long and contains:

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CSUDH
CALIFORNIA
STATE
UNIVERSITY
,
DOMINGUEZ
HILLS
I
1000
EAST
VICTORIA
STREET
I
CARSON
,
CALIFORNIA
90747
ACADEMIC AFFAIRS
Office of Academic Programs
Program Discontinuation Form Checklist
Complete current program information
List ALL related programs proposed to be discontinued
Proposed effective term (i.e., fall 2021)
Justification for discontinuation
Teach-out plan
Evidence of consultation with affected department(s)/program(s)
Campus-wide sharing (Curriculum Register) synopsis
The sections listed below are requir
ed on Program Discontinuation form. Please review the the proposal and check off
each section to indicate that the section has been completed and include the completed checklist as the cover page for the
proposal. If you have any questions regarding this checklist and/or form, please contact the Office of Academic
Programs.
CSU
CALIFOA'NIA
STATE!
UNrYCRSfTY,
C>OMINGUCZ
HILlS
.------I--------,
Office of Academic Programs • WH 440 • (310) 243-3308
REQUEST FOR PROGRAM DISCONTINUATION/DEACTIVATION
Date : College: Dept.: Ext:
Proposer Name: Email:
Proposed Effective Date:
1.
Current Program:
Full & Exact Degree
Designation & Title:
Graduate Undergraduate State Support Self-Support
Face-to-face
Fully Online
Hybrid
% Face-To-Face
% Online
Program Type: Minor Concentration Option Emphasis
Certificate
Program Name:
2.
PROPOSED CHANGES: Complete the following information
Discontinue/Deactivate
i.
List ALL degree programs, minors, certificates, concentrations/emphases/options to be
discontinued/deactivated below.
ii.
Attach rationale for discontinuation/deactivation of program(s).
iii.
Attach teach-out plan for students currently enrolled in program(s) listed above.
Academic Programs (Rev. 01/2019)
CSU
CALIFOA'NIA
STATE!
UNrYCRSfTY,
C>OMINGUCZ
HILlS
Office of Academic Programs • WH 440 • (310) 243-3308
REQUEST FOR PROGRAM DISCONTINUATION/DEACTIVATION
3.
Does this proposal affect another department(s) Yes No
If yes:
i.
List affected department(s)
ii.
Attach evidence of consultation with affected departments.
3.
Curriculum Register Synopsis: Include the summary of changes to be posted for campus-wide sharing.
Academic Programs (Rev. 01/2019)
CSU
CALIFOA'NIA
STATE!
UNrYCRSfTY,
C>OMINGUCZ
HILlS
Office of Academic Programs • WH 440 • (310) 243-3308
REQUEST FOR PROGRAM DISCONTINUATION/DEACTIVATION
1.
Faculty Proposer (Print)
Signature
2.
Department Chair/Program Coordinator
(Print) List names of department faculty who
approved this proposal. (Note: The number of
names listed must constitute a simple majority
of voting faculty members in the department.)
Signature
3.
Dept. Curriculum Com. Chair/ Faculty
Designee (Print)
Signature
4.
College Curriculum Committee Chair (Print)
Signature
5.
University Curriculum Committee Chair
(Print)
Signature
6.
VPAA/Designee (Print)
Signature
7.
President (Print)
Signature
Academic Programs (Rev. 01/2019)
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CSUDH Program Discontinuation Form Checklist ed on Program (California State University, Dominguez Hills)

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Completed 18 August 2020

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