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Program Termination Form

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FORM D

PROGRAM TERMINATION FORM

Board of Governors, State University System of Florida

UNIVERSITY: ___________________________________________________________

PROGRAM NAME: _______________________________________________________

DEGREE LEVEL(S): ___________

CIP CODE: ___________________

(

)

(Ph.D., Ed.D., etc)

Classification of Instructional Programs

ANTICIPATED TERMINATION DATE: _____________________________________

(Last date that students will be accepted into program)

ANTICIPATED PHASE-OUT DATE: _________________________________________

(Last date that data will be submitted for this program)

This is the form to be used for university requests to terminate doctoral degree programs and is

recommended for use when terminating other programs. The request should be approved by the University

Board of Trustees (UBOT) prior to submission to the Board of Governors, State University System of

Florida for approval. Please fill out this form completely for each program to be terminated in order for

your request to be processed as quickly as possible. Attach additional pages as necessary to provide a

complete response. In the case of baccalaureate or master’s degree programs, the UBOT may approve

termination in accordance with BOG Regulation 8.012 (3), with notification sent to the Board of

Governors, Office of Academic and Student Affairs. The issues outlined below should be examined by the

UBOT in approving termination.

Provide a narrative rationale for the request to terminate the program.

Indicate on which campus(es) the program is being offered and the extent to

which the proposed termination has had or will have an impact on enrollment,

enrollment planning, and/or the reallocation of resources.

Program Termination Form

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