Responsible Officer: X
Responsible Office: X
DRAFT VERSION XX.XX.XX
POLICY TITLE
I.
Policy Statement
The Policy Statement is a brief statement that explains the core provisions of the policy. Please
use this text as a guide to ensure correct formatting. Spell out Portland State University
(“University”) on first use. Use “University” thereafter.
II.
Reason for Policy/Purpose
Please use this text as a guide to ensure correct formatting. Use complete sentences for this
section, unless this format does not lend itself to the message. If bullets are necessary, please use
the following bullet formatting:
 Capitalize and use period at end of complete sentences.
 Start bulleted items with verbs or otherwise ensure sentence uniformity.
 Identify at least three separate bulleted items before using this formatting.
III. Applicability
This policy applies to all [possible entities to list: students, employees, schools, colleges,
administrative units] of the University.
IV. Definitions
Definitions: Use complete sentences to define words used in policy that may be confusing or
require consistent interpretation. Example definitions are listed below, using the proper
formatting.
University Policy: A written plan or general course of action, having broad application
throughout the University, intended to govern the actions of all employees, faculty, students,
visitors, and others who come in contact with the University. A University Policy helps ensure
compliance with applicable laws and regulations, promotes one or more of the University’s
missions, contains guidelines for governance, and/or sets limits within which people are expected
to operate. University Policies are governed by the University’s Policy on Policies, which can be
found in the University Policy Library.
1 – Policy Title
Draft version date: xx/xx/xx
Responsible Office: The University unit responsible for developing, coordinating and
maintaining a University Policy.
Responsible Officer: The position within the Responsible Office responsible for developing,
coordinating and maintaining the University Policy.
V.
Policy
1.
Policy Details
1.1
This section expands on the Policy Statement to outline all components of the
policy itself with sufficient detail to ensure that anyone subject to or interpreting
the policy can clearly understand the expectations. If you are not able to clearly
delineate the “policy” from the “procedural” elements, you can combine them
here. Please change the Heading to “V. Policy / Procedure”
1.2
Whether you separate or combine Policy & Procedure, please use this formatting.
Text should wrap as shown.
Sample language, to place-hold the text formatting needed for this portion of the
policy.
2.
1.3
Again, we’re just giving you sample formatting here.
1.4
Sample formatting
Sample Formatting
2.1
Sample text
2.2
VI. Procedure
1. Introduction
1.1
The procedures section should break out the established methods and
requirements for the implementation of a University Policy. Please follow this
formatting. Text should wrap as shown.
Sample language, to place-hold the text formatting needed for this portion of the
policy.
1.2
2 – Policy Title
Again, we’re just giving you sample formatting here.
Draft version date: xx/xx/xx
1.3
2.
Sample formatting
Sample Formatting
2.3
Sample text
2.4
Sample text
VII. Links To Related Forms
Name As It Appears In the Form Title, with hyperlink
VIII. Links To Related Policies, Procedures or Information
Name As It Appears In Policy or Document, with hyperlink
Name As It Appears In Policy or Document, with hyperlink
IX. Contacts
If you have any questions regarding this policy, please contact [department name] at (503) 725[main dept. number] or [department]@pdx.edu.
X.
History/Revision Dates [use this date format: May 27, 2012]
Adoption Date:
[date policy first approved by UPC and is in effect]
Reaffirmation Date:
[date UPC concurs with responsible officer that an existing policy
requires no change, and remains in effect]
Revision Date:
[date policy has been changed and reapproved]
Next Review Date:
Month, Day, Year [at least every five years, sooner as needed]
XI. Policy Adoption/Reaffirmation/Revision Approvals
Approved _________________________________________________________Date_______
PORTLAND STATE UNIVERSITY PRESIDENT
Approved _________________________________________________________Date_______
PORTLAND STATE UNIVERSITY GENERAL COUNSEL
3 – Policy Title
Draft version date: xx/xx/xx