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PROPOSED NEW POLICY REVIEW FORM
To submit a proposed new policy, review the Policy on Policies. Complete this form, secure appropriate
signatures, and send to the appropriate Vice President. Electronic signatures are acceptable.
Instructions
This is a form that can be completed electronically. Type or paste text into the gray areas, which will
expand to accommodate it.
1. Make sure you are using the correct form. For revising existing policies, use the Revised Policy
Review Form.
2. Date the form.
3. Provide the name of the school, college, or department submitting the policy.
4. Provide the name of a policy author with phone and e-mail address.
5. Describe why the proposed new policy is needed.
6. Provide the name of the proposed new policy.
7. List under Scope who the policy applies to.
8. Copy and paste the proposed new policy text into the gray text box.
9. Add the name(s) of the unit(s) responsible for administering the policy; provide the web address
to the home page of the unit(s) web site.
10. List any other school, college, or department that will be affected by the proposed new policy.
11. Add any hyperlinks to online forms, procedures, or other information related to the proposed new
policy.
12. Before submitting to the Responsible Officer, secure the signatures of the Department Chair and
Dean of the appropriate College.
13. With the signatures, submit to the Responsible Officer in your area.
14. The Responsible Officer will present the proposed policy to the appropriate Senior Administrator
for review.
15. Upon endorsement of the policy by the Vice President, the policy will be presented to the Senior
Administrator Team for final approval.
16. The Responsible Officer will then submit the paperwork showing approval to the President’s
Office for the President’s final signature and posting on the Policy Repository webpage.
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PROPOSED NEW POLICY REVIEW FORM
E-mail
Date:
Submitting School, College, or Department:
Contact Person Name:
Phone
Rationale for Proposed New Policy (Why is it needed?):
Name of Proposed New Policy:
Scope of Proposed New Policy (who it applies to):
Policy Statement:
Policy Administration
Other Departments affected by this policy (if applicable)
Links to Procedures and Related Information
I concur with the submission of this new policy.
____________________________________________________________ ____________
Department Chair Signature Date
___________________________________________________________ ___________
Dean Signature Date
____________________________________________________________ ____________
Responsible Officer Signature Date
I authorize the submission of this new policy.
__________________________________________________________ ___________
Senior Administrator Signature Date
____________________________________________________________ ____________
President Signature Date