New Program Form
Curriculum Document Number
Agenda Item No. Month Year
(for committee use only)
Initiated by: __________________________________________________________
Signature of full-time faculty member
Program Information New Program
Degree (pick one)
Certificate (check all that apply)
Short (1-11 cr.) Perkins (12+ cr.)
Financial Aid (16+ cr) WIA
list cr. hrs.
ICCB Curriculum Prefix
Term first offered (semester/year)
Minimum credit hours
If yes, explain
Skills levels (occupational programs
Courses in program
Attach list of existing courses and new courses as they will appear in the program. Include prefix
and number, title, and credit hours.
See office of Curriculum and Assessment to create catalog pages reflecting new program.
Catalog pages (attachment)
Purposes of proposed program
Datatel Program Code