LETTER OF INTENT - 1

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LETTER OF INTENT - 1 (New Certificate or Degree Program) 1. Institution submitting request: 2. Contact person/title: 3. Telephone number/e-mail address: 4. Proposed Name of Certificate or Degree: 5. Proposed Effective Date: 6. Requested CIP Code: 7. Program Description: 8. Mode of Delivery: On-Campus Off-Campus Location Distance Technology 9. List existing certificate or degree programs that support the proposed program: 10. President/Chancellor Approval Date: 11. Chief Academic Officer: 12. Date: LETTER OF INTENT – 1E (New Education Certificate or Degree Program) 13. Institution submitting request: 14. Education Program Contact person/title: 15. Telephone number/e-mail address: 16. Proposed Name of Education Certificate or Degree/Program Level: 17. Proposed Effective Date: 18. Requested CIP Code: 19. Program Description: 20. Mode of Delivery (mark all that apply): On-Campus – Off-Campus Location – Provide copy of written notification (via e-mail) to other Arkansas institutions of the proposed programs, and their responses. Indicate distance of proposed site from main campus. Distance Technology (50% of program offered by distance technology) Submit copy of written notification (e-mail) to Higher Learning Commission if proposed program will be offered 100% asynchronously. 21. List existing certificate or degree programs that support the proposed program: 22. President/Chancellor Approval Date: 23. Chief Academic Officer: 24. Date: LETTER OF INTENT - 2 (New Academic Administrative Unit) 1. Institution submitting request: 2. Contact person/title: 3. Telephone number/e-mail address: 4. Proposed Name of Academic Administrative Unit: 5. Proposed Effective Date: 6. Proposed Unit will serve as a base for: Faculty Appointments Offering Certificate and Degree Programs 7. Description of Proposed Unit: 8. President/Chancellor Approval Date: 9. Chief Academic Officer: 10. Date: LETTER OF INTENT - 3 (New Off-campus Instruction Center) 1. Institution submitting request: 2. Contact person/title: 3. Telephone number/e-mail address: 4. Proposed Name and Location of Off-campus Center: 5. Proposed Effective Date: 6. Fifty (50) percent of the credits required for a certificate or degree will be offered: Off-campus location Distance Technology Correspondence Both - Off-campus location and distance technology 7. Justification for Proposed Off-campus Center: 8. President/Chancellor Approval Date: 9. Chief Academic Officer: 10. Date: LETTER OF INTENT - 4 (Reactivation of Certificate or Degree on Inactive Status for 5 Years) 1. Institution submitting request: 2. Contact person/title: 3. Telephone number/e-mail address: 4. Name of Certificate or Degree on Inactive Status: 5. Proposed Name of New Certificate or Degree: 6. Proposed Effective Date: 7. Requested CIP Code: 8. Justification for Program Reactivation: 9. Mode of Delivery: On-Campus Off-Campus Location Distance Technology 10. President/Chancellor Approval Date: 11. Chief Academic Officer: 12. Date:

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