State of Tennessee

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Academic Program Modifications

Per Tennessee Higher Education Commission (THEC) Academic Policy A1.1 - Academic Program Modifications (APM), APMs are approved by the THEC Executive Director after review by THEC staff and apply to modifications of active programs on the THEC Academic Program Inventory (API). If an APM is deemed by the Executive Director to be more appropriately evaluated via Academic Policy A1.0 - New Academic Programs: Approval Process the campus will be notified.

Academic Program Modification requests are limited to the following changes:

Adding an academic program degree designation to an existing program (e.g. adding a BA to an existing BS)
Changing an academic program degree designation (e.g. BA to BFA; MA to MFA; EdD to PhD)
Changing the six-digit Classification of Instructional Program (CIP) code for an approved academic program.
Establishing a free-standing academic program from an existing concentration that has demonstrated steady enrollment and graduation numbers for a period of the last three years. This program modification may be considered only if the establishment of the concentration as a free-standing academic program does not compromise the remaining academic program and requires limited new resources.
Consolidating two or more existing academic programs into a single academic program.
Creating a joint degree program consisting of academic programs that are already approved at each participating institution.

The specific type of modification requested requires responses to different checklist items. The form will update automatically to included only the sections required for each APM request. All parts of the appropriate checklist must be completed. Submissions will be reviewed on a rolling basis.

Name of person completing the form*

First Name

Last Name

Email of person completing the form*

Phone number of person completing the form*

Institution*

Type of Academic Program Modification*

Add an academic program degree designation to an existing program (e.g. adding a BA to an existing BS) Change an academic program degree designation (e.g. BA to BFA; MA to MFA) Change the six-digit Classification of Instructional Program (CIP) code for an approved academic program. Establish a free-standing academic program from an existing concentration. Consolidation of two or more existing programs into a single academic program. Create a joint degree program consisting of academic programs that are already approved at each participating institution.

Academic Program Liaison

Name*

First Name

Last Name

Title*

Email*

Phone*

Existing Academic Program

Please note: all fields must match the current THEC Academic Program Inventory

Existing Academic Program Name*

Existing Concentrations*

Existing Degree Designation*

Current Federal CIP Code*

Additional Existing Academic Programs Affected by the Modification

Existing Academic Program Name*

Existing Concentrations*

Existing Degree Designation*

Current Federal CIP Code*

Are any other existing programs affected by the proposed change? (If yes, additional fields will be available to complete.)

Yes No

Additional Existing Programs Affected by the Modification

Existing Academic Program Name*

Exisiting Concentrations*

Existing Degree Designation*

Current Federal CIP Code*

Proposed Program

Proposed Academic Program Name*

Proposed concentration(s) - if no concentrations are proposed please indicate with "not applicable"*

Proposed Degree Designation*

Proposed Federal CIP Code*

Are there any new costs or revenues associated with the proposed APM?*

Yes No

Academic Program Modification

Letter of support from the Chief Academic Officer verifying the proposed academic program modification submission has gone through all necessary institutional approval channels- PDF*

No File Chosen

File uploads may not work on some mobile devices.

Background for proposed academic program*

Proposed implementation date - please include a date (mm/dd/yyyy)*

Anticipated delivery site*

Delivery Mode*

Potential impact on existing programs*

Existing programs offered at public and private Tennessee institutions*

Curriculum comparison overview*

Curriculum comparison upload - please provide the entire curriculum including general education, if applicable.*

No File Chosen

File uploads may not work on some mobile devices.

New courses needed*

Accreditation *

Additional Questions Based on APM Type

Provide justification for the addition of a degree designation to the existing academic program.*

Provide justification for changing the existing academic degree designation.*

Provide justification for a CIP code change request.*

Describe how the program’s curriculum has changed in a way that warrants a change to the CIP code.*

Provide justification for the establishment of a free-standing program from an existing concentration.*

List termination dates for each existing concentration that will be established as a free-standing academic program.*

Provide teach-out plans for students currently enrolled in any concentration that is to be terminated. *

Upload any supporting documents for teach-out plans

No File Chosen

File uploads may not work on some mobile devices.

Provide justification for the consolidation of the existing programs.*

List termination dates for existing academic programs - please include date(s) (mm/dd/yyyy)*

Provide teach-out plans for students currently enrolled in the existing academic programs.*

Upload any supporting documents for teach-out plans.

No File Chosen

File uploads may not work on some mobile devices.

Provide a signed copy of a Memorandum of Understanding that clearly outlines program responsibilities and fiscal arrangements among participating institutions.*

No File Chosen

File uploads may not work on some mobile devices.

Describe the need for a joint program, with specific attention to the ways students will benefit from the joint offering.*

Provide enrollment and degrees awarded for the existing academic program and each concentration for the past three years.*

Identify which components of the joint program will be offered on each campus, which will have online or remote options, and provide a sample program of study to illustrate student progression through the joint program. *

Provide an overview of how students will access academic and support services on all associated campuses.*

Provide student learning outcomes for the proposed academic program modification. Outcomes should clearly state the specific and measurable outcomes students will display to verify learning has occurred and include information regarding how each student learning outcome will be assessed.*

Provide an overview of how existing faculty and staff will support the proposed academic program modification.*

Provide teach-out plans for students currently enrolled in the program that is changing degree designation. *

(If applicable)

Costs and Revenues

Provide a budget narrative aligned with any costs or revenues listed on the THEC Financial Projections Form*

THEC Financial Projections Form - Excel*

No File Chosen

File uploads may not work on some mobile devices.

Additional Information

If necessary, please provide additional information.

If necessary, provide additional uploads.

No File Chosen

File uploads may not work on some mobile devices.