OHSU Academic Policy Worksheet – School/Unit Submissions
Return a completed worksheet for any policy concept or review to the
Office of Academic Programs, Policy and Accreditation
Please attach draft policy language as appropriate
Policy No.
Policy Title
Policy Owner/Title
Unit
Policy Action ☐New Policy ☐Major Revision ☐ Minor Revision ☐ Repeal
What is anticipated timeline for implementation?
What is the primary reason or justification for this new policy/revision/repeal?
☐OHSU Policy ☐ Risk Avoidance ☐State Law/Regulation ☐Federal Law/Regulation
☐Other (specify):
Description of reason/justification:
What OHSU policies, procedures, guidelines or forms will be impacted by the proposed policy?
How will the proposed policy be implemented?
☐Procedures ☐Forms ☐ Training ☐ Other (specify):
How will you inform OHSU constituencies about this policy action?
OHSU | Academic Affairs
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