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AA104 Rev. 2.22.10 OFFICE OF THE PROVOST - NORTHERN ARIZONA UNIVERSITY PROPOSAL FOR ORGANIZATIONAL CHANGE (CREATE NEW UNIT, REORGANIZE EXISTING UNIT, DISESTABLISH UNIT) This template is to be used only after the Dean has received specific written approval from the Provost to proceed with internal proposal development for the establishment of a new academic unit, reorganization of an existing academic unit or disestablishment of a unit. I. Description of the proposed organizational unit change A. Explain the nature of the change (i.e., formation of a new unit or reorganization of an existing unit. B. Identify the existing unit(s) affected by the change and its place in the current organizational structure of the university. C. If applicable, list any academic units to be disestablished as a result of the proposed reorganization. II. Purpose and activities of the unit A. Explain the rationale for the change. B. Identify the basic goals and objectives of the new reorganized unit(s) C. List all existing undergraduate and graduate academic programs, including degree programs, certificates and minors that will be housed in the proposed academic unit, whether new or reorganized. D. Identify the unit(s) that will assume the responsibilities of any units that are recommended for elimination. E. For instructional units, project the impact of this change on enrollment numbers over the next three years. III. Resources A. Faculty and staff 1. List the name, rank, highest degree, and estimate of the level of involvement of all current faculty and professional staff who will participate in the new or reorganized unit. Also indicate the position each person will hold in the new unit. 2. List the clerical and support staff positions that will be included in the new unit. 1 D:\401289492.doc AA104 Rev. 2.22.10 3. Indicate the number of graduate assistants who will be assigned to the new unit. 4. Describe any new resources required for this unit’s success such as new support staff, new faculty, new facilities, new library resources, new technology resources, etc. B. Financing 1. Explain the plan for providing adequate financing for the unit. 2. Identify sources for external sources of funding. 3. If this is for a new unit or reorganization of a unit, complete the budget projections sheet below to project the operating budget for the proposed unit for the next five years. C. Physical facilities and equipment Identify the physical facilities that will be required for the proposed unit and indicate whether those facilities are currently available. D. Other information 2 D:\401289492.doc AA104 Rev. 2.22.10 NEW UNIT/REORGANIZATION BUDGET PROJECTIONS The table provided below should be used for budget projections for proposed new units/reorganizations. Instructions 1. Please submit an original copy of the budget. 2. Project the new unit budget by indicating the initial base budget in Column I and the incremental changes in each expenditure area for each of the following two years (columns 2-3). Each column should include only new costs for each year. 3. Do not include projections for inflationary or routine salary pay changes. 4. In the “total” columns, list separately the reallocated state appropriated funds from the new state-appropriated funds. All reallocated funds are assumed to be permanent reallocation unless otherwise indicated. 5. For local funds, attach a separate list showing the major sources of local funds and a brief explanation of each source. 3 D:\401289492.doc AA104 Rev. 2.22.10 OFFICE OF THE PROVOST - NORTHERN ARIZONA UNIVERSITY ORGANIZATIONAL CHANGE BUDGET PROJECTIONS Description of organizational change Initial Base Budget EXPENDITURE ITEMS Continuing Expenditures Faculty State Local Other Other Personnel State Local Other Graduate Assistantships State Local Other Operations (supplies, phones, etc.) State Local Other Other Items description) State Local Other One-Time Expenditures Construction or Renovation State Local Other Start-up Equipment State Local Annual Incremental Costs Column 1 Column 2 Column 3 Annual cost after 3 years Column 4 Total onetime costs after 3 years Column 5 First Year ___ - ___ Second Year ___ - ___ Third Year ___ - ___ Fourth Year ___ - ___ Fourth Year ___ - ___ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ 4 D:\401289492.doc AA104 Rev. 2.22.10 Other Replacement Equipment State Local Other Library Resources State Local Other Other Items description) State Local Other TOTALS (Incremental) State-Reallocated Funds -New Funds Local Funds* _____________ __ ___________ ____ ____________ ___ __________ _____ ___________ ____ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ __________ _____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ ___________ ____ _____________ __ _____________ __ _____________ __ ___________ ____ ___________ ____ ___________ ____ ____________ ___ ____________ ___ ____________ ___ __________ _____ __________ _____ __________ _____ ___________ ____ ___________ ____ ___________ ____ GRAND TOTALS *Attach a separate list of major sources of local funds with a brief explanation of each source. 5 D:\401289492.doc
