All program proposals shall meet requirements set forth in rule at the time the proposal is submitted. PROGRAM COMPONENTS

Similar documents
TITLE 23: EDUCATION AND CULTURAL RESOURCES SUBTITLE A: EDUCATION CHAPTER I: STATE BOARD OF EDUCATION SUBCHAPTER b: PERSONNEL PART 25 CERTIFICATION

Master of Science (MS) in Education with a specialization in. Leadership in Educational Administration


Loyola University Chicago Chicago, Illinois

Assessment for Student Learning: Institutional-level Assessment Board of Trustees Meeting, August 23, 2016

UW Colleges to UW Oshkosh

Administrative Endorsements - Teacher Leader (PK-12) - Principal (PK-12) - Superintendent (PK-12) - Chief School Business Official (PK-12) - Director

CONNECTICUT GUIDELINES FOR EDUCATOR EVALUATION. Connecticut State Department of Education

Santa Fe Community College Teacher Academy Student Guide 1

GUIDE TO EVALUATING DISTANCE EDUCATION AND CORRESPONDENCE EDUCATION

Delaware Performance Appraisal System Building greater skills and knowledge for educators

State Budget Update February 2016

Basic Skills Plus. Legislation and Guidelines. Hope Opportunity Jobs

ACCREDITATION STANDARDS

DATE ISSUED: 11/2/ of 12 UPDATE 103 EHBE(LEGAL)-P

Arkansas Tech University Secondary Education Exit Portfolio

University of Cambridge: Programme Specifications POSTGRADUATE ADVANCED CERTIFICATE IN EDUCATIONAL STUDIES. June 2012

PROPOSAL FOR NEW UNDERGRADUATE PROGRAM. Institution Submitting Proposal. Degree Designation as on Diploma. Title of Proposed Degree Program

Kelso School District and Kelso Education Association Teacher Evaluation Process (TPEP)

VI-1.12 Librarian Policy on Promotion and Permanent Status

Post-16 transport to education and training. Statutory guidance for local authorities

College of Education & Social Services (CESS) Advising Plan April 10, 2015

Master of Philosophy. 1 Rules. 2 Guidelines. 3 Definitions. 4 Academic standing

Newburgh Enlarged City School District Academic. Academic Intervention Services Plan

Post-Master s Certificate in. Leadership for Higher Education

CONTINUUM OF SPECIAL EDUCATION SERVICES FOR SCHOOL AGE STUDENTS

Contract Language for Educators Evaluation. Table of Contents (1) Purpose of Educator Evaluation (2) Definitions (3) (4)

Standards and Criteria for Demonstrating Excellence in BACCALAUREATE/GRADUATE DEGREE PROGRAMS

West Georgia RESA 99 Brown School Drive Grantville, GA

Meeting these requirements does not guarantee admission to the program.

SSIS SEL Edition Overview Fall 2017

Maintaining Resilience in Teaching: Navigating Common Core and More Online Participant Syllabus

Illinois Grand Assembly - Academic Scholarship Application

NATIONAL LOUIS UNIVERSITY ESL and/or BILINGUAL ENDORSMENTS ESL and/or BILINGUAL SPECIAL EDUCATION APPROVALS

Programme Specification. MSc in International Real Estate

GENERAL UNIVERSITY POLICY APM REGARDING ACADEMIC APPOINTEES Limitation on Total Period of Service with Certain Academic Titles

Guidelines for the Use of the Continuing Education Unit (CEU)

Chapter 9 The Beginning Teacher Support Program

Montana's Distance Learning Policy for Adult Basic and Literacy Education

DOCTOR OF PHILOSOPHY BOARD PhD PROGRAM REVIEW PROTOCOL

Requirements for the Degree: Bachelor of Science in Education in Early Childhood Special Education (P-5)

Mathematics Program Assessment Plan

Greetings, Ed Morris Executive Director Division of Adult and Career Education Los Angeles Unified School District

Programme Specification (Postgraduate) Date amended: 25 Feb 2016

Quality assurance of Authority-registered subjects and short courses

Standard 5: The Faculty. Martha Ross James Madison University Patty Garvin

Initial teacher training in vocational subjects

Rules of Procedure for Approval of Law Schools

Undergraduate Admissions Standards for the Massachusetts State University System and the University of Massachusetts. Reference Guide April 2016

K-12 PROFESSIONAL DEVELOPMENT

SURVEY RESEARCH POLICY TABLE OF CONTENTS STATEMENT OF POLICY REASON FOR THIS POLICY

University of Richmond Teacher Preparation Handbook

TEACHING QUALITY: SKILLS. Directive Teaching Quality Standard Applicable to the Provision of Basic Education in Alberta

Multiple Measures Assessment Project - FAQs

P920 Higher Nationals Recognition of Prior Learning

Programme Specification. BSc (Hons) RURAL LAND MANAGEMENT

Upward Bound Program

Institutional Program Evaluation Plan Training

Supply and Demand of Instructional School Personnel

Assessment System for M.S. in Health Professions Education (rev. 4/2011)

Special Education December Count Webinar Training Colorado Department of Education

22/07/10. Last amended. Date: 22 July Preamble

USC VITERBI SCHOOL OF ENGINEERING

Committee to explore issues related to accreditation of professional doctorates in social work

Field Experience and Internship Handbook Master of Education in Educational Leadership Program

Submission of a Doctoral Thesis as a Series of Publications

CHAPTER XXIV JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION

HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN

Individual Interdisciplinary Doctoral Program Faculty/Student HANDBOOK

Spring Valley Academy Credit Flexibility Plan (CFP) Overview

EVALUATION PLAN

Bureau of Teaching and Learning Support Division of School District Planning and Continuous Improvement GETTING RESULTS

Oakland University OU STEP

University of Oregon College of Education School Psychology Program Internship Handbook

New Mexico s Definition of a Highly Qualified Teacher August, 2005

REGULATIONS FOR POSTGRADUATE RESEARCH STUDY. September i -

Lincoln School Kathmandu, Nepal

Chapter 2. University Committee Structure

10/6/2017 UNDERGRADUATE SUCCESS SCHOLARS PROGRAM. Founded in 1969 as a graduate institution.

Linguistics. The School of Humanities

CORRELATION FLORIDA DEPARTMENT OF EDUCATION INSTRUCTIONAL MATERIALS CORRELATION COURSE STANDARDS / BENCHMARKS. 1 of 16

Illinois State Board of Education Student Information System. Annual Fall State Bilingual Program Directors Meeting

RESIDENCY POLICY. Council on Postsecondary Education State of Rhode Island and Providence Plantations

Institution-Set Standards: CTE Job Placement Resources. February 17, 2016 Danielle Pearson, Institutional Research

K-12 Academic Intervention Plan. Academic Intervention Services (AIS) & Response to Intervention (RtI)

Bethune-Cookman University

DEPARTMENT OF KINESIOLOGY AND SPORT MANAGEMENT

SCHOOL PSYCHOLOGY M.S. STUDENT HA ANDBOOK

Georgia Department of Education

AB104 Adult Education Block Grant. Performance Year:

I. Proposal presentations should follow Degree Quality Assessment Board (DQAB) format.

Oklahoma State University Policy and Procedures

Delaware Performance Appraisal System Building greater skills and knowledge for educators

Core Strategy #1: Prepare professionals for a technology-based, multicultural, complex world

ARIZONA STATE UNIVERSITY PROPOSAL TO ESTABLISH A NEW GRADUATE DEGREE

CURRICULUM PROCEDURES REFERENCE MANUAL. Section 3. Curriculum Program Application for Existing Program Titles (Procedures and Accountability Report)

Graduate Handbook Linguistics Program For Students Admitted Prior to Academic Year Academic year Last Revised March 16, 2015

OPEN-ENROLLMENT CHARTER CONTRACT RENEWAL APPLICATION

Bilingual Staffing Guidelines

DISTRICT ASSESSMENT, EVALUATION & REPORTING GUIDELINES AND PROCEDURES

Transcription:

Illinois State Board of Education Center for Educator Effectiveness 100 North First Street, E-310 Springfield, IL 62777-0001 Phone: 217.782.2948 Fax: 217.557.8392 EARLY CHILDHOOD EDUCATION (Birth-Grade 2) PROGRAM PROPOSAL Proposal designed to include (if applicable): Early Childhood Special Education Approval (Birth-Grade 2) All program proposals shall meet requirements set forth in rule at the time the proposal is submitted. Submit Proposals to: Cristina Dimmitt-Salinas cdimmitt@isbe.net Please also email a copy to your consultant PROGRAM COMPONENTS Institution: Date of Submission to State Board of Education: Primary Contact: Email : Phone number: Secondary Contact: Email address: Phone number: Name of the Education Unit: Name of the Program: Endorsements and/or approval to be awarded: Term: Semester Trimester Quarter Other Semester hour equivalent: (If credit is not awarded in semester hours) Type of Program: Traditional (face to face) Blended (traditional & online) Online Only Alternative Degree to be awarded: Licensure Only Undergraduate Graduate Doctorate Level of the Program (as defined by CAEP): Initial Advanced Alternative Projected Size of Initial Cohort: Projected Student Entry Date: 1

CRITERIA 1. Please complete the matrix to describe the criteria for admission to the program including the required grade point average for entry into the program, retention in the program and exit from the program. (Per 23 Illinois Administrative Code, Part 25, Section 25.120 (a)(2)) Admission Retention Exit GPA: Example: ACT: Composite score of 22+ with writing score 16 (Delete example) Add additional rows as needed Example: Score 39/50 on each disposition evaluation. (Delete example) FACULTY Example: Score 80/100 on clinical evaluation by university supervisor and cooperating teacher. (Delete example) 2. Please complete the matrix to identify the faculty members with the primary responsibility for preparing professional educators in the program and their qualifications for their positions. (Per 23 Illinois Administrative Code, Part 25, Section 25.120 (a)(4)) Please list faculty with terminal degrees first. Name Degree Title Area of Expertise PK -12 Teaching Experience (Total Years & Grade Level) Expected s To Teach Add additional rows as needed COURSE OF STUDY 3. Please complete the matrix to describe the required courses in the course of study. Include the proportion of coursework offered by distance learning or video conferencing technology. Title/Name Example: EDU 230 Methods of Teaching Mathematics (Delete example) (Per 23 Illinois Administrative Code, Part 25, Section 25.120(a)(5-6) Credit Traditional Online Blended Other Modes Face-to-Face Hours Only (% Face To- of Delivery (Use X) (Use X) Face/% Online) (if applicable) 3 50/50 Description (Suggested 2-3 sentences) Required for any Illinois Endorsement in the Middle Grades, this course will provide practicing teachers with further knowledge and understanding of the unique intellectual, social, emotional, physical, and developmental characteristics and needs of the young adolescent. Teachers will develop middle school lessons to be shared with their peers in this course and used with their middle school students in the future. Add additional rows as needed Total Credit Hours 2

4. Please complete the matrix to describe how the program meets the endorsement requirements in selfcontained general early childhood education. Candidates shall complete a 32 semester hour major in early childhood education with coursework that addresses at least three areas of the sciences and at least four areas of the social science. (Per 23 Illinois Administrative Code, Part 25, Section 25.96 (b)(1-2)) Title/Name work to address at least three areas Ex: BIO 102 Teaching Principals of Life Science (Remove Example) Physical Science SCIENCE Life Science X Earth and Space Science Other: Add additional rows as needed SOCIAL SCIENCE Title/Name History Geography work to address at least four areas Ex: HIST 102 Teaching History in Elementary Classrooms (Remove Example) X Civics and Government Economics of Illinois, the US & World Other: Add additional rows as needed 5. Please complete the matrix to describe how the program meets the Professional Educator Licensure coursework requirements including the evidence of instruction relative to special education, reading, and English learners. (Per 23 Illinois Administrative Code, Part 25, Section 25.25 (a)(1)) (Per 23 Illinois Administrative Code, Part 24( for All Illinois Teachers) Title Ex: XXX 123 Requirement 1) Reading Methods Requirement 2) Reading in the content area X Requirement 3) Exceptional Child Instructional Methods Requirement 4) ESL/Bilingual Methods Add additional rows as needed 3

6. Please complete the matrix outlining what courses will be used to meet the endorsement and/or approval requirements for any subsequent endorsements and/or approvals to which the program will lead (e.g., ESL, Bilingual-Spanish, LBSI, etc.). Leave this section blank if your program will not include subsequent endorsements and/or approvals. Additionally, if more than one endorsement and/or approval needs to be included, simply duplicate this matrix. (Per 23 Illinois Administrative Code, Part 25, Section 25.100 (c)) a. Subsequent ESL/Bilingual endorsements must align to the following standards: i. the State Content set forth in 23 Illinois Administrative Code, Part 27, Section 27.425 (English as a Second Language (ESL) and Bilingual Education Beginning September 1, 2018) (Per 23 Illinois Administrative Code, Part 25, Section 25.120 (a)(1)(b)) By checking the box, candidates will be required to complete the coursework in the matrix below as part of the program. By checking the box, candidates will have the option to complete the coursework in the matrix below. Endorsement Requirement Linguistic (Delete example) Subsequent Endorsement: Example: ESL (Delete example) Title EIS 458 Name Linguistics for the Teacher of English Language Learners Credit Hours 3 Description (Suggested 2-3 sentences) The study of linguistics applied to teaching limited-english-speaking students. Includes English and non- English phonology, syntax, analysis, and application of linguistic theory. Clock hours 20 hours required. 27.425 (a)(1)(a)(i-ii) Add additional rows as needed Field Experiences and Clinical Practice 7. Please complete the matrix to describe the field experiences and clinical practices related to the course of study as applicable to specific courses. Include the expected learning outcome for the required field experience and clinical practice. (Per 23 Illinois Administrative Code, Part 25, Section 25.120(a)(5-6) Title Ex: XXX 123 Field Experience Description (Suggested 2-3 sentences) Clock Hours Expected Learning Outcome (Suggested 3-5 sentences) Add additional rows as needed 4

8. Describe the criteria and measures taken to ensure candidates gain experience in diverse settings and with students with varying demographic characteristics. (Per 23 Illinois Administrative Code, Part 25, Section 25.120 (a)(5)(a)) 9. Describe the measures taken to ensure the candidates gain experience with technology relevant to the profession. (Per 23 Illinois Administrative Code, Part 25, Section 25.120 (a)(5)(b)) 10. Describe the program s requirements for faculty supervision of the field experience and clinical practice. (Per 23 Illinois Administrative Code, Part 25, Section 25.120 (a)(5)(c)) ASSESSMENT 11. Please complete the matrix to provide a description of the program assessments to be used, as relevant to the program being proposed, and how the faculty will collect, analyze and use the data from the assessments used. (Per 23 Illinois Administrative Code, Part 25, Section 25.120(a)(3)) Assessment Describe how faculty will collect data from the assessment. Describe how faculty will analyze data from the assessment. Describe how faculty will utilize data from the assessment. Add additional rows as needed STANDARDS In order to be considered for approval, a recognized institution shall propose a preparation program that meets the required standards. (Per 23 Illinois Administrative Code, Part 25, Section 25.120 (a)(1)(a-e)) 12. Please complete the matrix to describe how the program meets: a. the State Content set forth in 23 Illinois Administrative Code, Part 26, Section 26.110, 26.125, 26.135-26.230, 26.245-26.270 ( for Endorsements in Early Childhood Education and in Elementary Education). b. the for All Illinois Teachers(IPTS) set forth in 23 Illinois Administrative Code Part 24. 5

c. the Social and Emotional Learning (SEL) set forth in 23 Illinois Administrative Code 555 Appendix A. d. the National : set forth in 23 Illinois Administrative Code, Part 26, Section 26.110. The National Association for the Education of Young Children (NAEYC) (September 2012) https://www.naeyc.org/caep/files/caep/naeyc%20initial%20and%20advanced%20 %2010_2012.pdf e. The CEAP 2013 Accreditation posted at http://caepnet.org/ (no later amendments to or editions of these standards are incorporated). Additional for Early Childhood Special Education (if applicable) f. the State Content set forth in 23 Illinois Administrative Code, Part 28, Section 28.240 ( for Early Childhood Special Education Teacher). g. the National : set forth in 23 Illinois Administrative Code, Part 28, Section 28.100. The Council for Exceptional Children (CEC) (2012) https://www.cec.sped.org/ Title Ex: XXXX-1234 (Delete Example) State Content Part 26 IPTS 26.320 (a)(5) 24.130(a)(1)(D) SEL National NAEYC Goal 1: Learning Standard C 2.4, 2.1, 3.5 Additional for Early Childhood Special Education (If applicable) State Content Part 28 National CEC 28.240 (b) K1.8, S4.1 Add additional rows as needed Standard 1. Content and Pedagogical Knowledge The provider ensures that candidates develop a deep understanding of the critical concepts and principles of their discipline and, by completion, are able to use disciplinespecific practices flexibly to advance the learning of all students toward attainment of college- and career-readiness standards. CAEP Candidate Knowledge, Skills, and Professional Dispositions: 1.1 Candidates demonstrate an understanding of the 10 InTASC standards at the appropriate progression level(s) in the following categories: the learner and learning; content; instructional practice; and professional responsibility. Provider Responsibilities: 1.2 Providers ensure that candidates use research and evidence to develop an understanding of the teaching profession and use both to measure their P-12 students progress and their own professional practice. 1.3 Providers ensure that candidates apply content and pedagogical knowledge as reflected in outcome assessments in response to standards of Specialized Professional Associations (SPA), the National Board for Professional Teaching (NBPTS), states, or other accrediting bodies (e.g., National Association of Schools of Music NASM). 1.4 Providers ensure that candidates demonstrate skills and commitment that afford all P-12 students access to rigorous college- and career-ready standards (e.g., Next Generation Science, National Career Readiness Certificate, Common Core State ). 1.5 Providers ensure that candidates model and apply technology standards as they design, implement and assess learning experiences to engage students and 6

improve learning; and enrich professional practice. Please use the space below to describe how the program meets the standard above. Include in your description a reference to the relative indicators (if applicable). Standard 2. Clinical Partnerships and Practice The provider ensures that effective partnerships and highquality clinical practice are central to preparation so that candidates develop the knowledge, skills, and professional dispositions necessary to demonstrate positive impact on all P-12 students learning and development. Partnerships for Clinical Preparation: 2.1 Partners co-construct mutually beneficial P-12 school and community arrangements, including technology-based collaborations, for clinical preparation and share responsibility for continuous improvement of candidate preparation. Partnerships for clinical preparation can follow a range of forms, participants, and functions. They establish mutually agreeable expectations for candidate entry, preparation, and exit; ensure that theory and practice are linked; maintain coherence across clinical and academic components of preparation; and share accountability for candidate outcomes. Clinical Educators: 2.2 Partners co-select, prepare, evaluate, support, and retain high-quality clinical educators, both provider- and school-based, who demonstrate a positive impact on candidates development and P-12 student learning and development. In collaboration with their partners, providers use multiple indicators and appropriate technology-based applications to establish, maintain, and refine criteria for selection, professional development, performance evaluation, continuous improvement, and retention of clinical educators in all clinical placement settings. 2.3 The provider works with partners to design clinical experiences of sufficient depth, breadth, diversity, coherence, and duration to ensure that candidates demonstrate their developing effectiveness and positive impact on all students learning and development. Clinical experiences, including technology-enhanced learning opportunities, are structured to have multiple performance-based assessments at key points within the program to demonstrate candidates development of the knowledge, skills, and professional dispositions, as delineated in Standard 1, that are associated with a positive impact on the learning and development of all P-12 students. Please use the space below to describe how the program meets the standard above. Include in your description a reference to the relative indicators (if applicable). Standard 3. Candidate Quality, Recruitment, and Selectivity The provider demonstrates that the quality of candidates is a continuing and purposeful part of its responsibility from recruitment, at admission, through the progression of courses and clinical experiences, and to decisions that completers are prepared to teach effectively and are recommended for certification. The provider demonstrates that development of Plan for Recruitment of Diverse Candidates who Meet Employment Needs: 3.1 The provider presents plans and goals to recruit and support completion of high-quality candidates from a broad range of backgrounds and diverse populations to accomplish their mission. The admitted pool of candidates reflects the diversity of America s P-12 students. The provider demonstrates efforts to know and address community, state, national, regional, or local needs for hard-tostaff schools and shortage fields, currently, STEM, English-language learning, and students with disabilities. Candidates Demonstrate Academic Achievement: 3.2 The provider meets CAEP minimum criteria or the state s minimum criteria for academic achievement, whichever are higher, and gathers disaggregated data on the enrolled candidates whose preparation begins during an academic year. 7

candidate quality is the goal of educator preparation in all phases of the program. This process is ultimately determined by a program s meeting of Standard 4. Additional Selectivity Factors: 3.3 Educator preparation providers establish and monitor attributes and dispositions beyond academic ability that candidates must demonstrate at admissions and during the program. The provider selects criteria, describes the measures used and evidence of the reliability and validity of those measures, and reports data that show how the academic and non-academic factors predict candidate performance in the program and effective teaching. Selectivity During Preparation: 3.4 The provider creates criteria for program progression and monitors candidates advancement from admissions through completion. All candidates demonstrate the ability to teach to college- and career-ready standards. Providers present multiple forms of evidence to indicate candidates developing content knowledge, pedagogical content knowledge, pedagogical skills, and the integration of technology in all of these domains. Selection At Completion: 3.5 Before the provider recommends any completing candidate for licensure or certification, it documents that the candidate has reached a high standard for content knowledge in the fields where certification is sought and can teach effectively with positive impacts on P-12 student learning and development. 3.6 Before the provider recommends any completing candidate for licensure or certification, it documents that the candidate understands the expectations of the profession, including codes of ethics, professional standards of practice, and relevant laws and policies. CAEP monitors the development of measures that assess candidates success and revises standards in light of new results. The CAEP minimum criteria are a grade point average of 3.0 and a group average performance on nationally normed assessments or substantially equivalent statenormed assessments of mathematical, reading and writing achievement in the top 50 percent of those assessed. An EPP may develop and use a valid and reliable substantially equivalent alternative assessment of academic achievement. The 50th percentile standard for writing will be implemented in 2021. Starting in academic year 2016-2017, the CAEP minimum criteria apply to the group average of enrolled candidates whose preparation begins during an academic year. The provider determines whether the CAEP minimum criteria will be measured (1) at admissions, OR (2) at some other time prior to candidate completion. In all cases, EPPs must demonstrate academic quality for the group average of each year s enrolled candidates. In addition, EPPs must continuously monitor disaggregated evidence of academic quality for each branch campus (if any), mode of delivery, and individual preparation programs, identifying differences, trends and patterns that should be addressed under component 3.1, Plan for recruitment of diverse candidates who meet employment needs. CAEP will work with states and providers to designate, and will periodically publish, appropriate top 50 percent proficiency scores on a range of nationally or state normed assessments and other substantially equivalent academic achievement measures, with advice from an expert panel. Alternative arrangements for meeting the purposes of this component will be approved only under special circumstances and in collaboration with one or more states. The CAEP President will report to the Board and the public annually on actions taken under this provision. Please use the space below to describe how the program meets the standard above. Include in your description a reference to the relative indicators (if applicable). ASSURANCES Per 23 Illinois Administrative Code, Part 26, Section 26.100(c) By checking the box, the institution ensures that beginning September 1, 2017, no candidate shall be admitted to a program that has not shown alignment to the standards set forth in Sections 26.125, 26.135 and 26.245. Any candidate who is enrolled in an early childhood education program aligned to the standards set forth in Sections 26.120, 26.130 and 26.240 shall complete the program on or before September 1, 2019 and have the early childhood education endorsement issued by September 1, 2020. Per 23 Illinois Administrative Code, Part 26, Section 26.110(d)(1-2) Gateways to Opportunity Credential Entitlement By checking the box, the institution ensures that by no later than September 1, 2019, each early childhood education program shall become entitled by the Gateways to Opportunity Illinois Professional Development System, by aligning its coursework to the benchmarks for the ECE Credential Level 5. http://www.ilgateways.com/en/gatewayscredentialentitlement-information Satisfactory evidence of entitlement status either shall be the name of the program's recognized institution listed at http://www.ilgateways.com/en/entitled-institutions or a letter communicating the name and level of the credential of entitlement and the date upon which the entitlement was granted. 8

The program shall resubmit the evidence required under subsection (d)(1) to the State Superintendent of Education each time a renewal of entitlement is granted. Per 23 Illinois Administrative Code, Part 25, Section 25.620(a-f) By checking the box, the institution ensures that the student teaching experience meets the requirements of Section 25.620 (Student Teaching) of Part 25 for those candidates who will be receiving the professional educator license for the first time. 9

As a courtesy to streamline the process for changing existing program approvals, IBHE will allow the following process ( will forward a copy of the Licensure Board approval letter): Public universities will submit an request for reasonable and moderate extension (RME) for changes to existing program approvals. Independent institutions under IBHE authority will submit documentation that the Licensure Board (SEPLB) has approved the changes and IBHE will recognize that approval as sufficient for us to record the changes to the programs. Independent grandfathered institutions will submit this form as notification to IBHE to instruct us to update our Program Inventory. ILLINOIS BOARD OF HIGHER EDUCATION ACADEMIC PROGRAM INVENTORY FORM FOR EDUCATION PROGRAMS Please include with the Program Proposal. For additional programs, please submit one form for each. 1. Name of Institution: 2. Program Contact Information (Name, Address, Email and Phone Number): 3. Has your Education program been previously approved by the IBHE? Yes No a. If IBHE approval was not required because of your institution s grandfathered status, has your institution reported your program enrollment information for the Fall Enrollment Survey? Yes No b. If IBHE degree-granting program approval is needed, contact the Division of Academic Affairs. CURRENT PROGRAM INFORMATION: 4. Current Program Degree Title: (Example: BA in Elementary Education) 5. IBHE Region Authorized for Approval (Check all approved regions for this program): Region 1-North Suburban Region 2-Fox Valley Region 3-West Suburban Region 4-Western Region 5-Central Region 6-South Metropolitan Region 7-Prairie Region 8-Southwestern Region 9-Southern Region 10-Chicago 6. Current Program IPEDS CIP Code Classification of Instructional Programs: (Example CIP: 13.1202) 7. Last Date of Enrollment for Students in the Current Program (mo/day/year): / / NEW PROGRAM INFORMATION: (Please note that your program s name, region, and CIP codes might change) 8. New Program Degree Title: 9. IBHE Region Authorized for Approval (Check all approved regions for this program): Region 1-North Suburban Region 2-Fox Valley Region 3-West Suburban Region 4-Western Region 5-Central Region 6-South Metropolitan Region 7-Prairie Region 8-Southwestern Region 9-Southern Region 10-Chicago 10. New Program IPEDS CIP Code -- Classification of Instructional Programs: 11. First Date of Enrollment for Students in the New Program (mo/day/year): / / Questions? Please contact IBHE Division of Academic Affairs, Dr. Gretchen Lohman at lohman@ibhe.org or 217.782.2551. 10