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Notification of Change: Program Modification Form
[ Next Response Time Frame : November 12, 2008 what is it? ]

Please complete all required fields (*) below:
  Title First* Middle Last* Suffix
Contact Person
Chief Executive Officer
Job Title
Institution*
Contact Department
Address 1*
Address 2
City* State* Zip Code* -
Phone* extension
Fax
Email*
Institutional URL
* Brief description of proposed modification/change:

* Reason for change (check all that apply):

Addition of a new organized set of courses within a major (e.g., option, concentration, specialization, or sequence)
Addition of a new minor
Addition of a certificate program in a field in which there is a previously approved degree program
Change of admission's requirements
Change of address
Change in a degree title
Change of ownership
Change of a program of study
Creation of a joint degree program from two previously approved programs
Elimination of an existing degree program
Reclassification (change of CIP) of a program: Existing CIP Proposed CIP
Other changes to approved programs

*Proposed implementation date of change:

* Provide a comparison between the details of the original program and the details of the proposed modification. Please limit comparison details to 10 pages or less. (Acceptable format: Word) [ How-to-Instructions ]