The request shall include the following information:

1. (1) What is the exact administrative change proposed?
2. (2) Submit organizational charts showing the present administrative scheme and the proposed administrative scheme.
3. (3) What is the rationale for the proposed change? How would it improve the institution?
4. (4) Explain in detail the current administrative load under the present organizational structure and that under the proposed structure. Project these loads for the next four years, and explain the rationale for the projection. Cite number of faculty, teaching assistants, research load, number of majors and minors, etc.

5. (5) Explain the new costs of the proposed change in detail as follows:

   1. (A) What new professional and clerical personnel will be added as a result of the change? (Project for four years.)
   2. (B) What additional physical space will be required by the change? From what funds will this be provided and at what cost? How will these new costs be met? (Project for four years.)
   3. (C) What additional equipment (all types) will be required as a result of the change? At what estimated cost? (Project for four years.)
   4. (D) Will the administrative change require that the current salary for any administrator or other professional person be increased? Describe increases in detail.
   5. (E) Will the proposed change be adequately funded by existing formula rates and appropriations? If not, explain what adjustments are contemplated.
6. (6) Will the proposed change alter in any way the approved role and scope of the institution? If so, explain in detail.
7. (7) Will the proposed change involve the institution (or any part of it) in new accreditation or in reaccreditation? If so, what are time requirements for this accreditation? What are basic criteria for the accreditation? What will be initial costs of the accreditation process, and subsequent annual costs to maintain it?
8. (8) Will the proposed administrative change require additional graduate or undergraduate student assistantships? If the answer is yes, explain in detail. Describe source of financial support.
9. (9) Will approval of the proposed change lead to additional or related proposals in other areas? If so, explain what and when.
10. (10) Has the institution's governing board approved the proposed administrative or organizational change or both? (Give date of meeting at which change was approved.)
11. (11) Describe briefly the source or sources of funds to support this administrative change and evaluate the adequacy of the funds for the inauguration and support of the change.
12. (12) Attach the letter of Certification of Adequacy of Financing to the copies of the application for the requested administrative change.

Source Note:The provisions of this §5.112 adopted to be effective January 1, 1976.