APPENDIX III: POLICY/PROCEDURE PROPOSAL FORM
KENTUCKY STATE UNIVERSITY IN ALL THINGS EXCELLENCE
Policy/Procedure Proposal Form
Date Submitted * 1/27/2022
Requestor name *
First ___ MI
Last Suffix
Requestor email *
Policy Type * New Revised
New Revised
Proposed Policy/Procedure Name *
1. Policy Statement/Procedure Description *
Description of the actual policy covering topics which include duties assigned to responsible parties and other parties as necessary; other information specific to a particular policy or procedure subject as needed; and a description of the compliance review process.
2. Entities Affected *
Bulleted list of areas of the University that are affected by the policy or the procedure.
3. Policy Owner/Interpreting Authority*