UCA, P-1: {proposed program title} PROPOSAL – 1 NEW CERTIFICATE OR DEGREE PROGRAM Please use the document <ADHE-P01-instructions.pdf> as a guide in completing this proposal document. The instruction document is linked from the ADHE forms tab on this page: http://uca.edu/go/curriculum-forms. 1. PROPOSED PROGRAM TITLE {type/insert text here} 2. CIP CODE REQUESTED {type/insert text here} 3. CONTACT PERSON Jonathan A. Glenn Associate Provost University of Central Arkansas 201 Donaghey Ave. Conway, AR 72035 (501) 450-3126 jona@uca.edu 4. PROPOSED STARTING DATE {type/insert text here} 5. PROGRAM SUMMARY {type/insert text here} 6. NEED FOR THE PROGRAM (submit employer needs forms) {type/insert text here} 7. CURRICULUM OUTLINE {type/insert text here} 8. FACULTY {type/insert text here} 9. DESCRIPTION OF RESOURCES {type/insert text here} 10. NEW PROGRAM COSTS – Expenditures for the first 3 years of program operation {type/insert text here} Page 1 of 2 Form updated 2014-02-05 UCA, P-1: {proposed program title} 11. SOURCES OF FUNDING – Income for the first 3 years of program operation {type/insert text here} 12. ORGANIZATIONAL CHART REFLECTING NEW PROGRAM The proposed program will be housed in {indicate department & college} . {Insert Org Chart} 13. SPECIALIZED REQUIREMENTS {type/insert text here} 14. BOARD OF TRUSTEES APPROVAL {type/insert text here} 15. SIMILAR PROGRAMS {type/insert text here} 16. DESEGREGATION {type/insert text here} 17. INSTITUTIONAL AGREEMENTS/MEMORANDUM OF UNDERSTANDING (MOU) {type/insert text here} 18. ADDITIONAL INFORMATION REQUESTED BY ADHE STAFF If required. Page 2 of 2 Form updated 2014-02-05