SUSPEND OR DELETE AN EXISTING ACADEMIC DEGREE PROGRAM

Institution:	Choose an item.

Date of anticipated modification implementation:	Click or tap to enter a date.

Modification request:	☐Suspend ☐Delete

Responsible academic unit:	Click or tap here to enter text.
Institutional contact: Phone: Email:	Click or tap here to enter text.

List any institutions within the State offering similar programs:	Click or tap here to enter text.

Program title(s) as it appears on Academic Program Inventory, Diploma, and Transcript:	Click or tap here to enter text.
Degree(s) awarded:	Click or tap here to enter text.
Six-digit CIP code, IHL sequence code:	Click or tap here to enter text.
Total credit-hour requirement:	Click or tap here to enter text.
Number of students presently enrolled:	Click or tap here to enter text.
Number of faculty affected:	Click or tap here to enter text.

Number of students enrolled in last 5 years:	Number of graduates in last 5 years:
Year 1	Click or tap here to enter text.	Year 1	Click or tap here to enter text.
Year 2	Click or tap here to enter text.	Year 2	Click or tap here to enter text.
Year 3	Click or tap here to enter text.	Year 3	Click or tap here to enter text.
Year 4	Click or tap here to enter text.	Year 4	Click or tap here to enter text.
Year 5	Click or tap here to enter text.	Year 5	Click or tap here to enter text.
Total	Click or tap here to enter text.	Total	Click or tap here to enter text.

Reason for request:
Click or tap here to enter text.

Effect on institutional role and mission: (For deletion, what is the impact on accreditation or other academic programs?)
Click or tap here to enter text.

Chief Academic Officer Signature – Date	Institutional Executive Officer Signature – Date