Form A1:5F
Policy A1.5 Academic Actions Notification
Form A1:5F: Consolidation of Existing Academic Programs into Single Academic Program
Reporting Schedule Notification Dates:
_______ May 15 for all actions approved between Jan 1 and April 30
_______ Aug 15 for all actions approved between May 1 and July 31
_______ Jan 15 for all actions approved between Aug 1 and Dec 31
Institution: ___________________________________________________________________________________________________
Programs to be Consolidated:
10 Digit Program
CIP Code
Current Program Title
Degree
Designation
Phase Out Date
New 10 Digit Program CIP Code (XX.XX.XXXX.XX): ____________________
New Program Title: _______________________________________________________ Degree Designation: __________
Institutional or Governing Board Approval Date (month/year): _______________________________
Implementation Date (month/year): _______________________________
Provide a brief rationale for the academic program consolidation and the teach out or
transitional plan for any students affected.
_________________________________________________________________________________ _________________________
Chief Academic Officer Signature (electronic signature acceptable) Date
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signature
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