Program Name *
Program Destination(s) *
Faculty Director's Name *
Email *
It in my intent to lead this program in * the 27-28 academic year the 28-29 academic year the 29-30 academic year the 30-31 academic year
It is my intent to offer this program * - Select Option every year every other year every three years
Will this program rotate with any other program? * - Select Option Yes No
Which program and on what schedule do you wish it to rotate? *
Is this a new or previously offered program? * - Select Option New Program Previously Offered Program
Are you anticipating significant changes to the program? * - Select Option Yes No Unsure
If yes or unsure, please describe the anticipated program changes *
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