Minor Program Online Registration

Name of Program

Department Sponsoring Program

Program Director Name or Sponsoring Unit Contact Name

Phone

Date(s) of Program

Location(s) of Program

Full Description of Proposed Program

List other university department(s) involved in the program ( SSU DPS, Housing, Intramurals etc.)

Is there a contract or agreement to be executed? Is a certificate of insurance necessary?

List the programs housing needs(on or off campus).

Will minors be utilizing labs?

Comments/Concerns/Issues

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