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University of Houston - Victoria

Academic Affairs
Office of the Provost

New Program Request Form for Bachelor and Master’s Degrees

Directions: An institution shall use this form to propose a new bachelor’s or master’s degree program. In completing the form, the institution should refer to the document Standards for Bachelor’s and Master’s Programs, which prescribes specific requirements for new degree programs. Note: This form requires signatures of (1) the Chief Executive Officer, certifying adequacy of funding for the new program; (2) a member of the Board of Regents (or designee), certifying Board approval, and (3) if applicable, a member of the Board of Regents or (designee), certifying that criteria have been met for staff-level approval. Note: An institution which does not have preliminary authority for the proposed program shall submit a separate request for preliminary authority. That request shall address criteria set in Coordinating Board rules Section 5.24 (a).

: Contact the Division of Academic Affairs and Research at 512/427-6200 for more information.

Administrative Information

  2. Program Name– Show how the program would appear on the Coordinating Board’s program inventory (e.g., Bachelor of Business Administration degree with a major in Accounting):
  3. Proposed CIP Code:
  4. Brief Program Description – Describe the program and the educational objectives:
  5. Administrative Unit– Identify where the program would fit within the organizational structure of the university (e.g., The Department of Electrical Engineering within the College of Engineering):
  6. ProposedImplementation Date– Report the first semester and year that students would enter the program:
  7. Contact Person– Provide contact information for the person who can answer specific questions about the program:





Program Information

I. Need

Note: Complete I.A and I.B only if preliminary authority for the program was granted more than four years ago. This includes programs for which the institution was granted broad preliminary authority for the discipline.

A. Job Market Need– Provide short- and long-term evidence of the need for graduates in the job market.

B. Student Demand– Provide short- and long-term evidence of demand for the program.

C. Enrollment Projections– Use this table to show the estimated cumulative headcount and full-time student equivalent (FTSE) enrollment for the first five years of the program. (Include majors only and consider attrition and graduation.)









II. Quality

A. Degree Requirements– Use this table to show the degree requirements of the program. (Modify the table as needed; if necessary, replicate the table for more than one option.)


Semester Credit Hours

Clock Hours

General Education Core Curriculum

(bachelor’s degree only)

Required Courses

Prescribed Electives

Free Electives

Other (Specify, e.g., internships, clinical work)

(if not included above)


B. Curriculum– Use these tables to identify the required courses and prescribed electives of the program. Note with an asterisk (*) courses that would be added if the program is approved. (Add and delete rows as needed. If applicable, replicate the tables for different tracks/options.)

Prefix and Number

Required Courses


Prefix and Number

Prescribed Elective Courses


C. Faculty– Use these tables to provide information about Coreand Supportfaculty. Add an asterisk (*) before the name of the individual who will have direct administrative responsibilities for the program. (Add and delete rows as needed.)

Name of CoreFaculty and Faculty Rank

Highest Degree and

Awarding Institution

Courses Assigned

in Program

% Time


To Program

e.g.: Robertson, David

Asst. Professor

PhD. in Molecular Genetics

Univ. of Texas at Dallas

MG200, MG285

MG824 (Lab Only)


New Faculty in Year __

New Faculty in Year __

Name of SupportFaculty and Faculty Rank

Highest Degree and

Awarding Institution

Courses Assigned

in Program

% Time


To Program

D. Library– Provide the library director’s assessment of library resources necessary for the program. Describe plans to build the library holdings to support the program.

E. Facilities and Equipment– Describe the availability and adequacy of facilities and equipment to support the program. Describe plans for facility and equipment improvements/additions.

F. Accreditation– If the discipline has a national accrediting body, describe plans to obtain accreditation or provide a rationale for not pursuing accreditation.

III. Costs and Funding

Five-Year Costs and Funding Sources- Use this table to show five-year costs and sources of funding for the program.

Five-Year Costs

Five-Year Funding



Reallocated Funds


Facilities and Equipment


Anticipated New Formula Funding3


Library, Supplies,

and Materials


Special Item Funding






Total Costs


Total Funding


1. Report costs for new faculty hires, graduate assistants, and technical support personnel. For new faculty, prorate individual salaries as a percentage of the time assigned to the program. If existing faculty will contribute to program, include costs necessary to maintain existing programs (e.g., cost of adjunct to cover courses previously taught by faculty who would teach in new program).

2. Specify other costs here (e.g., administrative costs, travel).

3. Indicate formula funding for students new to the institution because of the program; formula funding should be included only for years three through five of the program and should reflect enrollment projections for years three through five.

4. Report other sources of funding here. In-hand grants, “likely” future grants, and designated tuition and fees can be included.

Signature Page

1.Adequacy of Funding – The chief executive officer shall sign the following statement:

I certify that the institution has adequate funds to cover the costs of the new program. Furthermore, the new program will not reduce the effectiveness or quality of existing programs at the institution.

______________________________________ _______________________

Chief Executive Officer Date

  1. Board of Regents or Designee Approval– A member of the Board of Regents or designee shall sign the following statement:

On behalf of the Board of Regents, I approve the program.

______________________________________ _______________________

Board of Regents (Designee) Date of Approval

3. Board of Regents Certification of Criteria for Commissioner of Assistant Commissioner Approval– For a program to be approved by the Commissioner or

the Assistant Commissioner for Academic Affairs and Research, the Board of Regents or designee must certify that the new program meets the eight criteria under TAC Section 5.50 (b): The criteria stipulate that the program shall:

(1) be within the institution’s current Table of Programs;

(2) have a curriculum, faculty, resources, support services, and other components of a degree program that are comparable to those of high quality programs in the same or similar disciplines at other institutions;

(3) have sufficient clinical or in-service sites, if applicable, to support the program;

(4) be consistent with the standards of the Commission of Colleges of the Southern Association of Colleges and Schools and, if applicable, with the standards or discipline-specific accrediting agencies and licensing agencies;

(5) attract students on a long-term basis and produce graduates who would have opportunities for employment; or the program is appropriate for the development of a well-rounded array of basic baccalaureate degree programs at the institution;

(6) not unnecessarily duplicate existing programs at other institutions;

(7) not be dependent on future Special Item funding

(8) have new five-year costs that would not exceed $2 million.

On behalf of the Board of Regents, I certify that the new program meets the criteria specified under TAC Section 5.50 (b).


Board of Regents (Designee) Date