Department/Name: _____________________________________________ Submission Date: ___________
Social Responsibility and Diversity
Cognitive and Practical Skills
1. Program Title: __________________________________________________________________________
2. Is this a collaborative program? Yes No
3. Other departments involved:
4. Anticipated Program Cost: $_________
5. Attendance Goal: __________
6. Program Outcome Goals:
7. How will you know if you were successful in achieving your program goal?
8. Program Outline:
9. In what ways does this program support the domain selected above?
Dean of Students Signature:_______________________________________ Date: __________________
Student Learning Outcomes
Program Proposal Form