MODIFICATION TO EXISTING ACADEMIC UNIT

Institutional request for the following modification:
☐Rename	☐Reorganize	☐Delete

Institution:	Choose an item.

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

Current unit title(s):	Click or tap here to enter text.
New unit title:	Click or tap here to enter text.
Unit head: Phone: Email:	Click or tap here to enter text.

Reorganization - Complete this section if modification being requested is the reorganization of academic units.
Total number of faculty/faculty displaced:	Click or tap here to enter text.	Click or tap here to enter text.
Total number of staff/staff displaced:	Click or tap here to enter text.	Click or tap here to enter text.
Organizational units to operate under reorganized unit:	Click or tap here to enter text.

Deletion - Complete this section if modification being requested is the deletion of an academic unit.
Total number of faculty/faculty displaced:	Click or tap here to enter text.	Click or tap here to enter text.
Total number of staff/staff displaced:	Click or tap here to enter text.	Click or tap here to enter text.
Organizational units to operate under unit:	Click or tap here to enter text.
Degree programs offered within unit:	Click or tap here to enter text.
Effect on institutional role and mission:	Click or tap here to enter text.

Reason for request:
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Please respond to the questions on the following pages to aid the institution and IHL staff in making recommendations to the IHL Board of Trustees regarding this proposal.

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

Unit Modification Questions: (For renaming and reorganization requests only. Not required for deletion requests.)
1	Does the proposed modification further the mission of your institution? If so, how? (Note if this is helping meet priorities/goals of your strategic plan.)
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2	Will the proposed modification change the administration of the unit? If so, describe how the proposed unit will be administered including the name and title of person(s) who will be responsible for the proposed unit.
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3	Will the proposed modification result in the expansion of the institution’s academic degree program inventory?
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4	Will the proposed modification make it necessary to add faculty and staff to operate the proposed unit? If so, give the desired qualifications of the person(s) to be added, a timetable for adding new faculty and staff, and the associated costs.
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5	Is the proposed modification consistent with the academic unit structures of peer institutions?
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6	Provide organizational charts showing the present administrative scheme and the proposed administrative scheme. (Names of persons are not required)
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7	Describe the evaluation process which led to the request for the proposed modification.
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