Version: V1.1 22 June 2016. QPA
DELEGATION REQUEST FORM
Complete this form to establish a new Delegation, request a major amendment to a Delegation or disestablish an existing
Delegation.
This form is to be used in conjunction with the
relevant University Delegation Policy, Procedures and Register.
This form is only for use in the management of academic and student delegations. For delegation matters related to Higher
Duties and Financial Delegations use the Request for Higher Duties and Financial Delegations form.
______________________________________________________________________________________________________
New Delegation
Major Amendment
Disestablishment
______________________________________________________________________________________________________
Deleg
ation Category:
Delegation Position
(Click Relevent Position Button)
Band
Function
Source of authority?
What need is filled?
Consultation?
Submit this completed form to the relevant Co-sponsor for approval to continue.
DVC Academic for Student Services and Teaching and Learning delegations.
SDVC for Research Management and Research Education delegations.
Co-sponsor e-signature
Date
Minor Amendment
Requestor Name:
Position:
Org Unit:
Date:
Brief description of the decision made under the delegation.
Name the relevant published policy this delegation relates to?
Reason for the New Delegation (the need for it and the business gap it will fill); or Minor/Major Amendment; or Disestablishment
Identify potential risks to be mitigated
Identify Stakeholders
Academic
Professional
Committee
Disestablishment
click to sign
signature
click to edit
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