Department or Division Name Change

Recommendation Form

Please check one:

__ Rename Existing Department/Division

__ Establish New Department/Division

Rename Existing Department/Division:

Current Department/Division Name:

 

 

Division (if applicable):

 

 

Recommended Department/Division Name:     

 

 

Recommended by (originator):

 

 

Rationale for request:

 

 

Establish New Department/Division:

Recommended Department/Division Name:

 

 

Division (if applicable):

 

 

Department/Division Description:

 

 

Recommended by:

 

 

Rationale for request:

 

 

Approvals:

Manager/Dean _____________________  Effective date ______________

Vice President _____________________

President        _____________________

Once approved, form will be returned to originator who is responsible for notification to the following departments: 

__Business Office

__Central Services

__Facilities

__Human Resources

__ Information Technology

__ Marketing and Public Relations

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History: 

(Unknown adoption date)