UIC Contract Academic Program Questionnaire General Information College Name Contact Name Department Phone E-mail Contract Partner Third Party (External Partner) Name Type of entity (governmental, community organization, or private business) Address Contact Name Phone E-mail Defining the Program Name of the Program Degree/certificate objectives (or credential awarded) Program Eligibility requirements IBHE/UIC Approved? Cohort/Target Audience / Admissions Target Audience Cohort Size (Minimum/Maximum Enrollment per Cohort) How will students be admitted and what are the relevant admissions deadlines? Will students pay one tuition amount for the entire program or on a per semester or per term basis? Desired Start of Program; will there be multiple start dates and multiple cohorts? How many times per year will the program admit students? (Fall only, Fall & Spring, Fall/Spring/Summer or off-cycle)? Will courses be offered in the Summer? Timeline for recruiting/selecting participants 1 2015 UIC Contract Academic Program Questionnaire 2015 Program Content & Format Length of Program, number of terms needed to complete the program Curriculum & Course Sequence (Schedule of Courses listed by semester if applicable) Will the students be required to take courses in a set order (e.g., as a cohort)? (Attach a spreadsheet with the details.) Number of Credit Hours required to complete the program Online, blended or on-ground If online or blended, is program/course development required and how will this be accomplished? Describe your plan for instructional support, course design and development and course maintenance for the program? If online, frequency and duration of on campus meetings with students Program Location, if not online; Are there adequate, existing and available physical spaces/labs/classrooms to teach on-campus? Special facility requirements/needs, or special equipment needs (e.g., Polycom, lecture capture/recording, etc.)? Identifying Resources to Deliver the Program The plan for instruction will have an impact on budget, sustainability and scalability of the program. Details must be provided to assure an accurate financial proforma is developed. Describe the instructional faculty needs for each cohort. Provide specifics about numbers, type of faculty and estimated salary costs to teach the courses for the duration of the program and or per semester, whichever is applicable. Attach a spreadsheet with these details. Will the program staffing include mentors, preceptors, proctors, or other instructional-related salary expense beyond faculty members? Include in above spreadsheet. Program Administration & Development Your college is responsible for all aspects of program administration including admissions, student advising, coordination with the registrar, finance, human resources, IT and tech support, marketing, student support, instructional support, course design and development and course maintenance. 2