Program Review Extension

Under extenuating circumstances, a program may request an extension of its program review. The request can be made by using this form and a confirmation email will be sent to the Department Chair, the Associate Director of Academic Assessment and Program Review, the Vice Provost, and the Dean.

Program/Department:(Required)

Department Chair(Required)

Department Chair Email(Required)

College(Required)

Dean(Required)

Dean's Email(Required)

The original date the self-study was due:(Required)

Newly proposed date of submission(Required)

Justifications for Extension Request: Please briefly explain below the extenuating circumstances for the request, and provide the intermediary steps the program will take to ensure timely completion of the program review by the new due date.(Required)

I have communicated this request with my Dean(Required)

Yes

I understand by submitting this extension request, a confirmation email will be sent to the Department Chair, the Associate Director of Academic Assessment and Program Review, the Vice Provost, and the Dean.(Required)

Yes

I understand the Vice Provost will review all requests, and consult with the Dean, and programs will be informed within 1 week if the request has been denied.(Required)

Yes

Please acknowledge the following before you submit