Program: Modify/Inactivate/Reactivate

Curriculum Action Form

Request signatures through Adobe Sign and email signed form to Curriculum@seminolestate.edu

Initiator: Click or tap here to enter text.	Department: Click or tap here to enter text.	Date: Click or tap to enter a date.	Ph: Click or tap here to enter text.

Inactivate Program: (must follow program closing procedure 4.0800)
Program title: Click or tap here to enter text.
Effective Term: Click or tap here to enter text.
Reason for inactivation: Click or tap here to enter text.
How many students are currently in this plan? Click or tap here to enter text.
Last Admit Term: Click or tap here to enter text.
Provide workforce data that is leading to this program inactivation: Click or tap here to enter text.
Provide the teach-out plan in accordance with the College’s Program Closing or Conversion (Procedure 4.0800): Click or tap here to enter text.
Reactivate Program:
Program title: Click or tap here to enter text.
Effective Term: Click or tap here to enter text.
Reason for reactivation: Click or tap here to enter text.

Other Program Modifications:

Program title: Click or tap here to enter text.
Effective Term: Click or tap here to enter text.
Indicate in the space provided the modifications to this program: Click or tap here to enter text.
SACS Notification May be Required. Please answer the following (Yes or No)
Is this program being terminated? ☐ Yes ☐ No
Is this a change in program length (number of credits or hours) for an existing program? ☐ Yes ☐ No
Is this an expansion of a program at an off-site location? ☐ Yes ☐ No
Is this a dual agreement with another institution? ☐ Yes ☐ No

Document to include with this form:

Attach the Electronic Curriculum Guide Template (Excel) for the type of program (BS, AS, Certificate), which are located here: https://www.seminolestate.edu/ccd/forms

The second tab of the Excel template needs to be filled out as well. This is a list of the courses in the program in sequential order to assist students and advisors in planning class schedules more effectively based on prerequisites, etc.

Program: Modify/Inactivate/Reactivate

Federal Financial Aid Agreement Information

Please answer the following for Gainful Employment programs (aid-eligible credit certificate or career certificate programs). This information is not needed for BACC/AA/AS programs.

Is this a current program that required a name/CIP code change/credit hour change by the state? Click or tap here to enter text.

If this is NOT a new program and we are changing the name of a program we already offer, what was the name/CIP of the old program that needs to be amended on the Program Participation Agreement (PPA)? Click or tap here to enter text.

What is the total number of credits and/or clock hours for the program? Click or tap here to enter text.

What is the number of weeks of instruction? Click or tap here to enter text.

What is the federal CIP code for the program? (Ex: if state CIP is 0351070714, the federal CIP would be 51.0707). Click or tap here to enter text.

For this program, will all credits transfer into an AA/AS program? Click or tap here to enter text.

NOTE: This program will be submitted to the Department of Education for consideration for FA eligibility. Submission occurs only once per year after Curriculum Committee has convened. Once the Department of Education approves the submissions, students in this program will be eligible to receive aid.

Curriculum Action Form Signature Page

Request Signatures through Adobe Sign and email signed form to Curriculum@seminolestate.edu

Signatures:
Initiator	Date
Career Program Advisor (If Applicable)	Date
Program Manager (If Applicable)	Date
Dean	Date
Associate Vice-President	Date

***This program modification was approved by a majority of FT faculty stakeholders on _________________. Dean initials ____________

***State Mandated changes are exempt.

If you have curriculum items on the agenda, please ensure that a representative attends the meeting to present the request.