New Center or Institute Signature Form
Print form and attach it to the front of the proposal
Proposed Center/Institute Name:
Department + ZIP:
College + ZIP:
Primary Contact:
Phone #:
E-mail:
All signatures on this page attest to:
1. Support for the goals and structure of the proposed Center or Institute
2. Appropriate consultation within signatory’s area of responsibility
PROPOSAL STEPS:
COMPLETED:
1. Proposal developed (consult with Curriculum Services for signatures
required)
Date: ________
signature required if checked
2. Proposal reviewed and approved by Department Curriculum
Committee
Chair, Department Curriculum Committee signature
Date: ________
signature required if checked
3. Proposal reviewed and approved by Department Chair
Department Chair signature
Date: ________
signature required if checked
4. Proposal reviewed and approved by College Curriculum Committee
Chair, College Curriculum Committee Signature
Date: ________
signature required if checked
5. Proposal reviewed and approved by College Dean
College Dean Signature
Date: ________
signature(s) required if checked
6. Other signature(s) required (as determined by Curriculum Services)
Send completed proposal to: Undergraduate Education/Curriculum Services, SSC 460, Campus ZIP 128