ࡱ> ?[>g bjbj 4"xqbxqbj 44444HHH8H 2f1111111q3'61414441R4411b1l>F110 2,6.6J6411L 26B : History: Institutions planning to implement new degree programs beginning on or after July 1, 2017 should submit this screening form to WSCUC to determine if a Substantive Change review and approval is necessary prior to implementation. A determination on the necessity of review is made after submission of the form and any further information requested by WSCUC. Directions: Please complete the form on the next page and submit with your program proposal. The Accreditation Liaison Officer will submit the pre-screen form online to the WSCUC offices. Key Terms: Modality: WSCUC defines online as any degree program that is more than 50% online. If your degree program is hybrid, determine whether it is more than 50% online. If not, then the modality is considered on-site. CIP Code: As you develop your application, you will be working with Academic Programs to determine the CIP Code for your degree. The CIP (Classification of Instructional Programs) Code is determined by the US Department of Education. Description: Provide a brief description of the degree program. You may copy the description from your application. Anticipated Implementation Date: Is the date the program will be offered to students for the first time. Requested Month of Review: Should WSCUC determine that a site visit or further review of the proposed program is necessary, a team will visit campus. Competency-Based Program: or CBEs, are programs that allow students to learn at their own pace, studying specific skills related to their degree and moving forward as they master those skills. It is not a traditional credit-earned degree. There are very few competency-based programs in the US. Degree Program Length: This question is only relevant if you are changing an already-existing degree program. This question is also primarily directed towards cohort-based programs. Institution: California State University, Long Beach ALO Name and contact information: Sharlene Sayegh, Sharlene.Sayegh@csulb.edu Date: Full Name of Proposed program: Degree and degree level: Modality: CIP Code: Description: Anticipated Implementation date: Requested Month of Review [this is when you would like review if WSCUC determines a visit is required]: Is the program a Competency-based Degree Program? Is this a program changing its degree program length? Is this program a joint or dual degree? If so, provide partner institution name: 1. Please provide the names and CIP codes of the two most closely related programs to the proposed program on your campus [if you do not know the CIP codes, please provide the name and Sharlene will locate the codes]: 1) 2) 2. Number of programs currently offered at the degree level and modality of the proposed program: [this field is auto-filled by WSCUC. Please leave blank] 3. Number of new courses being required for this program: 4. How many new faculty members will be required for this program? 5. Please describe any significant additional equipment or facilities needed for the program: 6. Please describe any significant additional financial resources needed: 7. 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