Application for Change in Educational Delivery Platform or Funding Model Application for Establishing an Alternative Educational Delivery Platform or Funding Model Part A – Program Information Program Name: CIP: _ Program Level (i.e., BA, BS, MA, Certificate) _ Department: College: _ Department Contact: _Email: Part B- Proposed Delivery Platform Please select from the following: Degree or certificate with 25-49% of a program’s available credits: Onsite Off Main Campus Degree or certificate with 50% or more of a program’s available credits: Fully Online Online with Onsite Meetings On Main Campus Online with Onsite Meetings of Campus Onsite Off Main Campus (include physical address of site) Part C- Background 1) Provide a clear statement of the nature and purpose of the delivery modification in the context of the mission and goals of the University, College and Department 2) Describe the educational program to be offered (including curriculum and courses) and any difference in admissions, curriculum or graduation requirements for students enrolled in the modified program from those enrolled in the main campus program 3) Provide the specific learning objectives and outcomes of the program (SLO) and a projected schedule of the course offerings for the first three years 4) Describe oversight to ensure the academic quality of the program 5) What are the qualifications of the faculty teaching the distance education courses? Part D– Proposed Funding Model Please select from the following: State-Funded (In State Residents & Non Florida Residents) State-Funded (In State Residents & Non Florida Residents) With DL Fee State-Funded (In State Residents) & Self-Funded (Non Florida Residents) State-Funded (In State Residents) with DL Fee and Self-Funded (Non Florida Residents) Self-Funded (In State Residents and Non Florida Residents) _ _ _ _ _ If Self-Funded Selected: 1) Is department currently meeting In-State SCH enrollment goals? 2) What impact will the program have on SCH enrollment? 3) Will the program be cost recovery or market rate? 4) What is the proposed tuition? 5) What is the faculty compensation plan? 6) What is the target market, including the degree demand, input audience, employment outlook, market place competition, and anticipated marketing strategy? 7) A description of financial resources to support the modification, including budget (using the attached template) for the first three years 8) Any contractual arrangements for vendor support 9) Operational, managerial, and physical resources required to support the modification 10) What PeopleSoft department ID should be used to establish the revenue account for the program? Part E- Program Administration & Student Support 1) What is the CIP code for the proposed program? _ 2) How will the program ensure that the student who participates in an online or distance learning program is the same student who completes the program? 3) Describe the processes and procedures in place to ensure that: advertising, recruitment, and admissions information adequately and accurately represent the program offerings the program requirements and services available to the student are clear; students have structured access to faculty students have adequate access to the range of academic support services appropriate to for distance learning including advising, delivery of course materials, placement and counseling, tutorials and mentoring; and academic integrity of grades awarded in the courses is maintained 4) Student Fees Assessed Students in off campus degree programs (online or onsite) will be assessed the following student fees through University Financial Services; these fees therefore should not be included in the proposed budget: Capital Improvement Trust Fund Fee Student Financial Aid Fee Technology Fee Students in off campus certificate programs not have access to Financial Aid and therefore will not be assessed the Student Financial Aid Fee To be completed by the Office of the Associate Provost Special Program Code: _ ChartField: DeptID Fund _Program _FlexID _ Recommendation: Department Chair Signature Printed Name Approve Date Dean of College Signature Printed Name Approve Date Associate Provost Signature Printed Name Approve Date Provost and Senior Vice President _ Signature Printed Name Approve Date .. .Application for Establishing an Alternative Educational Delivery Platform or Funding Model Part A – Program Information Program Name: CIP:... academic support services appropriate to for distance learning including advising, delivery of course materials, placement and counseling, tutorials and mentoring; and academic integrity of grades... Proposed Delivery Platform Please select from the following: Degree or certificate with 25-49% of a program’s available credits: Onsite Off Main Campus Degree or certificate with 50% or more