Policy Number:	[Policy Number]	Effective Date:	[Effective Date]
Policy Title:	[Policy Title]	Revised Date(s):	[Revised Date(s)]
Policy Type:	☐Board ☐Administrative ☐Academic ☐Student ☐Other: ______________
Contact:	[Contact Name] [Contact Office]
Policy Statement
[Policy Statement; concise]
Purpose:	[Why is the policy necessary?]
Procedure:	[How will the policy be implemented?]
Scope:	[To whom does this policy apply?]
Exclusions:	[Is anyone exempt?]
Enforcement:	[Are there any sanctions?]
Publication:	[How will this policy be published/disseminated?]
Duration:	[How long is this policy in effect?]
Review Period:	[When / how it is to be reviewed?]
Definitions:	[Note any necessary definitions]
SACSCOC:	[Does this relate to any SACSCOC standards?]
Accreditation:	[Does this relate to any specialized accreditation standards? List organization and standard]
Related Forms, Policies, or Tools:	[Are there any cross-references to note?]
To determine approval level, please consult your respective Vice President.
Reviewed By:	Name	Title:	Title	Date:	Date
Approved By:	Name	Title:	Title	Date:	Date
Last Updated By:	Name	Title:	Title	Date:	Date
Keywords (up to 8):