Name of Proposed Program:

Name of Person Submitting Program Idea:

Phone Number:

Proposed Starting Date:

Please describe the program. Include details such as:

• Credit or non credit
• Timing (day, evening or weekend)
• Urgency
• Lifetime of proposed program
• Is this a seminar type program or a traditional type program
• Will it be a face to face or distance learning program
• Location of proposed program
• Will there be a degree/diploma/certificate issued

Has a business or industry representative requested the program?
  Yes   No

Might the program prepare students for transfer to a 4 year college?
  Yes   No

Will the program enrich part or all of SE Iowa?
  Yes   No

If yes, how?

Does the program enhance SE Iowa through expanded skills, new opportunities, attraction of a niche market or other opportunities?
  Yes   No

If so, how?

Is the anticipated salary for the graduates/completers of the program greater than $25,000?
  Yes   No

Is the labor market demand strong for completers of this program?
  Yes   No

Please provide any information you considered while answering the above question:

If new courses are listed, do they offer different curricula than currently available?
  Yes   No

Please explain:

Does the proposed program lead to a state/nationally recognized certification/licensure?
  Yes   No

Will the program need special equipment and/or labs?
  Yes   No

Please explain:

Do the resources needed, align with the number of anticipated customers served?
  Yes   No

Will implementation of the program make further resources available for SCC?
  Yes   No

Will the program bring new students to SCC?
  Yes   No

Additional Comments: