Instructions for Request for Administrative/Internal Changes Form
Requests for administrative/internal program modifications must be submitted using the Request for
Administrative/Internal Changes form, available on the Governance Tab, University Forms Channel on
Aggie Access at http://aggieaccess.cameron.edu, consisting of:
Cover Page
Signature Page
C15, C16, C17, or C18 form, complete with narrative explanation and supporting documents
A current degree check sheet, or list of current requirements in the case of a minor, and a
proposed degree check shee
t, or proposed list of minor requirements, that clearly shows the
proposed changes must accompany a request for modification.
Cover Page
Department submitting request: The name of the department/school offering the degree or minor.
Contact person: Someone who can answer questions about the requested Administrative/Internal
Change; include the title and phone number of this person.
Current Title of Degree Program (Level I,,): Aggregations of courses with an institutional-unique
program code (also known as the State Regents' Program Code). This level defines the discipline in which
the degree is awarded. Examples include Bachelor of Arts in English Education, Bachelor of Fine Arts in
Art, Bachelor of Science in Biology, Master of Science in Behavioral Science.
Program Code (Level III): This is the State Regents Program Code.
CIP Code (Level III): Classification for Instructional Programs (CIP) codes indicate classification of
instruction.
Degree Granting Academic Unit: This is the name
of the degree department.
Department Head: Person who oversees the program listed above.
Type of Request:
(1) Addition of a Minor (C15)
(2) Deletion of a Minor (C16)
(3) Requirement Changes for Minor (C17)
(4) Other Administrative/Internal Program Modifcation (C18)
Signature Page
Administrative/Internal changes require approval of Chair or Director, Dean or Supervisor, applicable
Committee or Council Chairs (General Education Committee, Teacher Education Council, Graduate Council,
Curriculum Committee), and Vice President for Academic Affairs.
C14 04/12
1
Cameron University
REQUEST FOR ADMINISTRATIVE/INTERNAL CHANGES
____________________________ ___________________________________
Department submitting request Contact person
_____________________________________________
Title
_____________________________________________
Phone number
______________________________________________________
Current title of degree program (Level III) or Minor Program Code (Level III): _______
CIP Code: ___________________
Degree Granting Academic Unit: _____________________________________________________
Department
Chair:
__________________________________________________________________
(Person who oversees degree program listed above)
TYPE OF REQUEST: Check the type of request and attach a narrative explanation with supporting documents.
_____ (1) Addition of a Minor
_____ (2) Deletion of a Minor
_____ (3) Requirement Changes for Minor
_____ (4) Other ________________________________________________
C14 04/12
2
Cameron University
REQUEST FOR ADMINISTRATIVE/INTERNAL CHANGES
Department submitting request Program Name and Code being modified
C14 04/12
3
Chair or Director Date
Dean or Supervisor Date
General Education Committee Chair Date
Teacher Education Council Chair Date
Graduate Council Chair Date
Curriculum Committee Chair Date
Vice President for Academic Affairs Date
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