Form A1:5G
Policy A1.5 Academic Actions Notification
Form A1:5G: Extension of Existing Academic Program to an Approved Off-Campus Center
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
Note: In accordance with THEC Policy A1:4, an Off-Campus Center offers one to two complete academic
programs. This notification form should be used only for previously approved Off-Campus Centers with
approved off-campus center codes where the center will not offer more than two complete academic
programs.
Institution: ___________________________________________________________________________________________________
10 Digit Program CIP Code (XX.XX.XXXX.XX): ____________________
Academic Program Title: _________________________________________________ Degree Designation: __________
Off-Campus Center Name: _________________________________________ Off-Campus Center Code: ________
Institutional or Governing Board Approval Date (month/year): _______________________________
Implementation Date (month/year): _______________________________
Provide a brief rationale for offering the existing academic program at the approved Off-Campus
Center. Include the other academic program currently offered at this Off-Campus Center.
_________________________________________________________________________________ _________________________
Chief Academic Officer Signature (electronic signature acceptable) Date
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