Academic Policies Committee: Request for Consideration Form
The APC oversees and advises all aspects of current undergraduate and graduate academic policies and procedures for programs, program curriculums, and academic advising.  
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Name:
Title/Position:
Date:
MM
/
DD
/
YYYY
This request is on behalf of:
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If on behalf of a group, please specify:
The request is for a:
POLICY: Add definition / PROCEDURE: Add definition / PRACTICE: Add definition  
Policy
Procedure
Practice
Other
Modification to an exisisting
Proposal for a new
Clear selection
Policy, procedure, or practice number:
Link to policy, procedure, or practice:
Describe the proposed change:
If applicable, provide the specific proposed language.  These changes may be indicated in attached policy, procedure, or practice documents.
Brief explanation and rational for the proposed change:
Please include any evidence or research that may support or enhance the proposed change, including references.
Discuss any potential consequences for all stakeholders that need to be considered:
Please consider any implications for students, faculty, administration, and/or alumni.
List any other policies, procedures, or practices that may need to be considered in relation to the proposed change:
Please include the policy, procedure, or practice number and link.
Additional information to consider:
Would you (or another representative) like to attend an APC meeting to present the request?
Clear selection
If so, please provide email addresses:
To submit the request, email Emma Witt at emma.witt@stockton.edu.  Indicate which of the following will be included with the email notification:
**Send an email even if there are not any attachments to include.  This form does not generate an automatic notification.  
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