Fillable Fee Proposal Form Signable

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Fee Proposal Form Signable

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FEE CHANGE PROPOSAL
Rev. 11/4/14 AD
All fee proposals must be submitted to the Provost in November to be considered for the upcoming fall term.
Complete a separate proposal for each fee (or set of fees) being proposed by your department. All student
fees are assessed by the Registrar and collected by the Student Accounts Office.
Proposed New Fee Proposed Change in Existing Fee
Department: Org number to be credited:
Contact Person
:
Amount of Fee:
Name and purpose of fee
Name of affected course (CRN, Course number, any cross-listings)
Date/Semester of Implementation (consult first with Registrar):
How was the fee determined and calculated? Include an estimate of revenue and expense.
Who will pay the fee: Only students in courses delivered online
Only students in courses delivered on campus
All students
Are there other funds supporting this activity/function? If yes, please list them:
Program Director/Department Chair
College Dean
Provost
Chief Financial Office
If this a new fee
Approvals
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Completed 20 February 2020

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