Baton Rouge Community College | BRCC
2476500-83312000POLICY ROUTING/CHECKLIST FORMFrom: Responsible Official (Name and Title)To: Chair, Executive Council for Institutional EffectivenessDate:Proposed College Policy Title:Proposed College Policy Number:Proposed Policy Classification:? Academic Affairs ? Facilities ? Finance ? Human Resources? Institutional Advancement ? Institutional Effectiveness ? Information Technology? Public Relations ? Safety & Security ? Student Affairs ? Workforce DevelopmentProposed Policy Status: ? New Policy ? Review of Existing Policy for Approval? Review of Existing Policy for Withdrawal and Replacement? Review of Existing Policy for Withdrawal 1. POLICY DEVELOPMENT WITH STAKEHOLDER INPUT?Responsible Official certifies that proposed College policy was developed with input from all applicable stakeholders identified in Section 6 of the Policy on Policies on __________________________(date/initials of Responsible Official)2. PROPOSED POLICY SUBMITTED FOR INITIAL REVIEW AND APPROVAL?Submission of proposed College policy by Responsible Official to the College’s Executive Council for Institutional Effectiveness using the official policy template on ________________________________(date)3. EXECUTIVE COUNCIL FOR INSTITUTIONAL EFFECTIVENESS REVIEW AND ACTION? Proposed College policy is ? Approved ? Returned? Proposed College policy is approved and forwarded to Chancellor’s Cabinet for action on ___________ (date)? Proposed College policy is returned to Responsible Official with comments for review and re-submission to College’s Executive Council for Institutional Effectiveness on _________________________________ (date)Comments:4. CHANCELLOR’S EXECUTIVE TEAM AND ACTION? Proposed College policy is ? Approved ? Returned? Proposed College policy is approved and forwarded to Chancellor for action on ____________________ (date)? Proposed College policy is returned to Responsible Official with comments for review and re-submission to College’s Executive Council for Institutional Effectiveness on _________________________________ (date)Comments:5. CHANCELLOR’S REVIEW AND ACTION? Proposed College policy is ? Approved ? Returned? Proposed College policy is approved by the Chancellor on ____________________________________ (date)? Proposed College policy is returned to Responsible Official with comments for review and re-submission to College’s Executive Council for Institutional Effectiveness on _________________________________ (date)Comments: ................
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