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Name

Form Start Date

Form Type

Form Submitted Date

Form ID

Form Steps

Submitted on

Submitted by

For Program (name):

and Degree

College of

Department of

CIP (IPED)

Date change is to be effective

Can this program be fully completed online?

Yes

Changes proposed for

Type of Change:

Course prefix and number

Catalog Description:

What research has led to this request?

What impact will this request have on existing academic programs?

What financial costs are associated with this request?

If NO change in cost is anticipated, how is this possible?

Any additional information

Additional Attachment:

Approver's Position	Status	Note	Date	Note Type
Christina Genovevo (8)	approved	Final approval AA_17_2022_23 2/7/2023	Feb 13, 2023	Present Note
Christina Genovevo (7)	approved		Feb 6, 2023	Present Note
Earnie Church (6)	approved		Jan 13, 2023	Present Note
Joseph Oestreich (3)	approved		Dec 9, 2022	Present Note
David Kellogg (2)	approved		Dec 9, 2022	Present Note
Stephanie Miller (1)	approved		Nov 4, 2022	Present Note
Stephanie Miller (1)	denied	please see email with catalogue attachment and upload to this form; resubmit	Nov 4, 2022	Old Note
Stephanie Miller (1)	denied	Please add the full catalogue description for the proposed catalogue changes (see email).	Oct 10, 2022	Old Note