CNM Out-of-Cycle Curricular Proposal Form
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One or more of the minimum criteria must be met:
 Accreditation, license, or certification change
 Statewide or nationwide initiative or grant
 Immediate community need (e.g., business relocation)
 Significant issue that would adversely affect program completion or transfer
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Proposed Term of Implementation:
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Please check all requested changes:
New program ☐
New course(s) ☐
Change in program ☐
Change in course(s) ☐
School:
Choose a School.
Program name/course(s) designation:
PART ONE: EXPLANATION
Please identify how this proposal meets the minimum criteria and why it’s needed at this
time:
Created: 5/19/2014 Revised: 1/4/2016
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PART TWO: IMPACT ASSESSMENT
Please attach documentation of the impact of change and the cost estimate of this proposal.
IMPACT of CHANGE
If you answer "yes" to any item (1 through 7), please attach the effects and actions you will take
to address them with the number indicating the impact you are addressing.
Is there a need for additional facilities and/or equipment?
Is there a need for additional faculty?
Is there a need for additional course offerings (sections)?
If the curriculum is designed for transfer, how will this change or impact new or existing
transfer agreements?
5. If the curriculum is designed for transfer, is there a transfer agreement in development?
6. Is this being proposed as a coordinated entry program?
7. Will the proposal require program accreditation?
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4.
PRELIMINARY ESTIMATE of COST
Please attach answers to the following:
1. Describe facility needs for the program. Will this require new space, remodeled space
or new equipment? Will there be ongoing facility and equipment maintenance
expenses?
2. Estimate instructor availability and instructional FTE cost.
3. Estimate financial impact on student support.
4. Identify operational funding requirements (if needed).
5. Identify informational resource requirements (e.g., library).
6. Identify technology requirements (e.g., hardware, software, support).
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Date of Submission to Deans Council:
Approved ☐
Not Approved ☐
Deans Council Comments:
Created: 5/19/2014 Revised: 1/4/2016
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Date of Presentation to the CCC:
Approved ☐
Not Approved ☐
CCC Comments:
Date of Presentation to the Governing Board:
Approved ☐
Not Approved ☐
Not Applicable ☐
Governing Board Comments:
Created: 5/19/2014 Revised: 1/4/2016
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