MISSISSIPPI DELTA COMMUNITY COLLEGE
All Campuses
COLLEGE CURRICULUM COMMITTEE
Policy Request Form
STATEMENT OF PROPOSED POLICY
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JUSTIFICATION FOR PROPOSED POLICY
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ROUTING PROCEDURES
Department Chairperson _____________________________________ Date _________________
Division Dean ______________________________________ Date _________________
Vice President ____________________________________________ Date _________________
ACTIONS
Committee Approved ______ Disapproved ______ Initial ________ Date _________
Vice President Approved ______ Disapproved ______ Initial ________ Date _________
President Approved ______ Disapproved ______ Initial ________ Date _________
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