Policy Proposal/impact Statement Cover Sheet printable pdf download

Policy Proposal/impact Statement Cover Sheet

POLICIES OF COLORADO STATE UNIVERSITY-PUEBLO

POLICY PROPOSAL/IMPACT STATEMENT

COVER SHEET

Policy Title:

Category:

Select a Category:

□ New Policy

Date Proposed:

□ Revision of Existing Policy

Originator(s):

__________________________________________________________________

Name

Date

Telephone & Email:______________________________________________________________

Policy Sponsor: (If Not Originator) ___________________________________________________

Name

Date

Telephone & Email:______________________________________________________________

Reviewed By General Counsel: _________Yes ________No Name & Date:____________________

A. Policy Description:

Briefly describe the policy ore revision to existing policy. If you are requesting an existing policy

or guideline be revised, identify the existing policy or other source of guidance.

B. Basis:

Explain why the proposed policy or revision is desired. If there is a law, Board of Governors

resolution, or other official directive that requires this policy be adopted, then be sure to include

specific references and attach copies.

C. Required Resources:

Describe the existing resources (personnel, funds, space) that will be used to carry out and

monitor compliance with the policy.

Policy Proposal/impact Statement Cover Sheet