ICCB Program Manual - Illinois Community College Board

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Program Manual March 2004 Page 43 Reasonable and Moderate Extension Request (Form 21S) Instructions • Complete the Form 21S as indicated. The existing/parent program is a certificate or degree program from the same two-digit CIP code as the new short-term certificate being requested, for which the college has previous approval to offer. • Requests may be submitted at any time during the year. Allow approximately 30 days for ICCB processing of the request. • For more information, contact ICCB staff. Pertinent information also is contained in the Administrative Rules of the Illinois Community College Board, Section 1501.302d.
Program Manual March 2004 Page 44 Form 21FA (November 2003) Illinois Community College Board REASONABLE AND MODERATE EXTENSION REQUEST FOR AN ASSOCIATE IN FINE ARTS (AFA) DEGREE (submit two copies) College Name________________________________________ 5-Digit College #________________ Contact Person Phone # PROPOSED REASONABLE AND MODERATE EXTENSION(S) Maximum of three: Title:_________________________________________________________ Credit Hours____________ Title:_________________________________________________________ Credit Hours____________ Title:_________________________________________________________ Credit Hours____________ DATE OF LOCAL BOARD APPROVAL FOR PROGRAM(S) LISTED ABOVE:___________ EXISTING/PARENT PROGRAM (List only one): TITLE:___________________________________________ PREFIX/NO._________________ PLEASE ATTACH THE FOLLOWING ITEMS: 1. Admissions: Provide verification that admissions requirements meet state standards for admission to all transfer programs (PA 86 0954). List information as it will appear in the college catalog. 2. Curriculum: Provide the proposed catalog description of the program. List the proposed degree requirements, including general education and courses in the major. If the degrees will be awarded in both music and art, describe the requirements separately. Requirements should be consistent with the Illinois Articulation Initiative Art and/or Music Panels’ recommendations. 3. Facilities /Equipment: Describe the number and adequacy of studios and major equipment/instruments (Including computer hardware and software) available to support the proposed program. Indicate what additional resources will be required to offer the degree. 4. Faculty: Provide the number of full- and part-time faculty members who will teach courses in the major, describing their qualifications (including highest degree earned), teaching experience, and how faculty are evaluated. 5 Courses: Provide two copies of applicable course descriptions (art and/or music) from college catalog and two copies of applicable courses (art and/or music) currently listed as approved on the iTransfer website. (Copy from the Faculty/Advisor section of the site at http://www.iTransfer.org.) 6. Form 22 completed in duplicate for each R&M option (maximum of 3). Use CIP code 50.0901 for music performance. Use CIP code 13.1312 for music education. Use CIP code 50.0701 for art. Use CIP code 13.1302 for art education. 7. Form 11s completed in duplicate to add any new courses to the curriculum. SIGNED______________________________________________ DATE__________________ College Official Responsible ICCB USE ONLY: REVIEWED BY________________________ Date______________ APPROVED BY_______________________ Date______________
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ICCB Program Manual - Illinois Community College Board

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