Fill - Free fillable New-center-institute-sign New Center PDF form

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

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