Illinois State University

Undergraduate Programs

Program Proposal Financial Implications Form

For Request for New Program Approval

Purpose: Proposed new undergraduate programs (degrees, sequences, certificates) must include information concerning how the program will be financially supported to proceed through the curriculum proposal process. Signatures of the College Dean and Provost/Provost Representative are required prior to submission of the new program to the College Curriculum Committee.

Procedure: This completed form, with all necessary signatures, is to be attached to new program curricular proposals.

Definition: A “program” can be either a degree, a sequence as part of a degree or a certificate.

Complete the following information:

Department: _________________________________________ Date:____________________

Proposed New Program:_________________________________________________________

Person Completing Form:_______________________________ Contact #:________________

Complete Table I to show student enrollment projections for the program.

Table I

STUDENT ENROLLMENT PROJECTIONS FOR THE NEW PROGRAM

	1^st Year (July – June)	2^nd Year	3^rd Year	4^th Year	5^th Year
Number of Program Majors (Fall headcount)
Annual Full-Time-Equivalent Majors
Annual Credit Hours in EXISTING Courses^1
Annual Credit Hours in NEW Courses^1
Annual Number of degrees Awarded

¹Include credit hours generated by both majors and non-majors in courses offered by the academic unit directly responsible for the proposed program.

Complete Table II (even if no new funding is requested). Show all required resources including amounts and sources of funds reallocated from other programs or units.

Table II

PROJECTED RESOURCE REQUIREMENTS FOR THE NEW PROGRAM

	1^st Year (July – June)	2^nd Year	3^rd Year	4^th Year	5^th Year
FTE Staff^1(FTE)
Personnel Services ( $ )
Equipment and Instructional Needs ( $ )
Library ( $ )
Other Support Services^2( $ )

¹Reflects the number of FTE staff to be supported with requested funds. Not a dollar entry.

²Other dollars directly assigned to the program. Do not include allocated support services.

Budget narrative listing projected sources of program funding (including sources of reallocated funds).

Routing and action summary:

1. _____________________________________________ ______________________

Department/School Curriculum Committee Chair Date Approved

2. _____________________________________________ ______________________
Department Chairperson/School Director Date Approved

3. _____________________________________________ ______________________
College Dean Date Approved

4. _____________________________________________ ______________________
Provost/Provost Representative Date Approved

5. _____________________________________________ ______________________

College Curriculum Committee Chairperson Date Approved

6. _____________________________________________ ______________________

Teacher Education Council Chair Date Approved

7. _____________________________________________ ______________________
University Curriculum Committee Chairperson Date Approved

Once approved, please include this form with the curricular proposal for the new program. Please also submit an electronic copy of this form.