POLICY INSTRUCTIONS/TEMPLATE/SIGNATURE PACKET
Northern Kentucky University

POLICY TEMPLATE INSTRUCTIONS

STOP: BEFORE COMPLETING THIS PACKET, YOU SHOULD HAVE AN APPROVED POLICY REQUEST FORM.

The university utilizes a standard policy template to facilitate consistency and clarity of university policies. The policy template is required for all university policies.

Depending on the subject matter or nature of the policy, the policy may include any or all of the sections in the template.

Additional sections not included in the template may also be added to the policy as Heading 2 subsections. Be sure to format as appropriate by clicking on Heading 2 in the Home tab.

At a minimum, the Policy Name, Type, Responsible Official, Responsible Office, Policy Statement, Entities Affected, and Revisions (if appropriate) sections must be completed.

The effective date, next review date, and superseding policy sections will be completed upon approval of the policy.

Policy Name

POLICY NUMBER: Reserved FOr FUTURE USE
POLICY TYPE: Choose an item.
RESPONSIBLE OFFICIAL TITLE: Click here to enter text.
RESPONSIBLE OFFICE: Click here to enter text.
EFFECTIVE DATE:Click here to enter a date.
NEXT REVIEW DATE: Click here to enter a date.
SUPERSEDES POLICY DATED: Click here to enter a date.
REQUIRES LEGAL/COMPLIANCE REVIEW:
(per section V. of the approved policy request form) ☐Yes	☐NO
REQUIRES I.T. POLICY COUNCIL REVIEW:
(per section V. of the approved policy request form) ☐Yes	☐NO
REQUIRES Professional Concerns Committee REVIEW:
(per section V. of the approved policy request form) ☐Yes	☐NO
REQUIRES HUman Resources REVIEW:
(per section V. of the approved policy request form) ☐Yes	☐NO
REQUIRES Board Of Regents Approval:
(per section V. of the approved policy request form) ☐Yes	☐NO

I. Policy Statement

Describe the policy’s substance, core provisions, or requirements. A policy should be clear, concise, and written in plain language.

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II. Entities Affected

Describe the positions, units, departments, groups of people, or other constituencies to which the policy applies or has a material effect.

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III. AUTHORITY

If applicable, please provide citations to any sources of authority for the policy. Examples include state or federal laws, Governing regulations, Board of Regents minutes, or an external accreditation agency.

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IV. Definitions

Define any terms within the policy that would help in the understanding or interpretation of the policy.

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V. RESPONSIBILITIES

Provide the position titles, departments, or divisions that are responsible for implementing the policy. Next to each entity, enumerate the responsibilities necessary to implement and enforce the policy.

VI. COMMITTEE

If the policy creates an official university committee, describe the Committee’s role, responsibilities, and composition (titles of positions).

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VII. PROCEDURES

Describe the MINIMUM ACTIONS required to fulfill the policy’s requirements. This section should NOT INCLUDE internal protocols, guidelines, optional or purely desirable actions.

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VIII. Reporting Requirements

Describe any required reports related to the policy. Include the position title of the official or name of the department responsible for furnishing the report, and the internal and external bodies to which the report must be provided.

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IX. Exceptions

Describe when exceptions are allowed, the process by which exceptions are granted, and the title of the university official authorized to grant the exception.

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X. Training

List the positions, departments, offices, or divisions responsible for implementing training. Include the entities that should receive training (e.g. Staff, Faculty, Administrators, etc.) and the frequency at which training should be delivered (at-hire, annually, bi-annually, etc.)

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XI. Communications

List any university committees, groups, boards, councils, or other groups to which this policy or revisions to this policy should be communicated.

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XII. References and Related Materials

REFErences & FORMS

Link any forms or instructions needed to comply or implement this policy. If links are unavailable, attach forms to this policy as examples.

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Related Policies

Link any currently existing policies related to this policy. If unable to obtain a link, simply list the names of the related policies.

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Revision history

Indicate any revisions to this policy using the table below. Include the type of revision and the month & year the revision was approved

REVISION TYPE	MONTH/YEAR APPROVED
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.

POLICY NAME

SIGNATURES

IT POLICY COUNCIL ReVIEW

CHIEF INFORMATION OFFICER
Signature	Date
Printed Name

HUMAN RESOURCES REVIEW

SENIOR DIRECTOR, HUMAN RESOURCES
Signature	Date
Printed Name

LEGAL & COMPLIANCE REVIEW

VICE PRESIDENT FOR LEGAL AFFAIRS/GENERAL COUNSEL OR ASSISTANT GENERAL COUNSEL
Signature	Date
Printed Name
COMPLIANCE OFFICER
Signature	Date
Printed Name

ACADEMIC AFFAIRS COUNCIL (AAC) REVIEW

PROVOST AND EXECUTIVE VICE PRESIDENT FOR ACADEMIC AFFAIRS
Signature	Date
Sue Ott Rowlands

ACADEMIC & ADMISSIONS POLICY COMMITTEE (AAPC) 1ST READING

VICE PROVOST FOR UNDERGRADUATE ACADEMIC AFFAIRS CO-CHAIR, AAPC
Signature	Date
Printed Name
VICE PRESIDENT FOR ENROLLMENT AND DEGREE MANAGEMENT CO-CHAIR, AAPC
Signature	Date
Printed Name

PRE-COMMENT PERIOD EXECUTIVE TEAM REVIEW

SENIOR VICE PRESIDENT, ADMINISTATION & FINANCE
Signature	Date
Printed Name

COMMENT PERIOD

POLICY COORDINATOR
Signature	Date
Printed Name

PROFESSIONAL CONCERNS COMMITTEE REVIEW/APPROVAL

PROVOST/EXECUTIVE VICE PRESIDENT FOR ACADEMIC AFFAIRS
Signature	Date
Printed Name

FACULTY SENATE REVIEW

PROVOST/EXECUTIVE VICE PRESIDENT FOR ACADEMIC AFFAIRS
Signature	Date
Printed Name

GRADUATE COUNCIL APPROVAL

VICE PROVOST FOR GRADUATE EDUCATION, RESEARCH, & OUTREACH
Signature	Date
Printed Name

FINAL EXECUTIVE TEAM REVIEW

1. ACADEMIC & HYBRID POLICIES

PROVOST AND EXECUTIVE VICE PRESIDENT FOR ACADEMIC AFFAIRS
Signature	Date
Sue Ott Rowlands

2. ALL POLICIES

Senior Vice President, ADministration & Finance
Signature	Date
Sue Hodges Moore

PRESIDENTIAL APPROVAL

President
Signature	Date
Geoffrey S. Mearns

board of regents APPROVAL

BOARD OF REGENTS (IF FORWARDED BY PRESIDENT)
☐ This policy WAS NOT forwarded to the Board of Regents. ☐ This policy WAS forwarded to the Board of Regents. ☐ The Board of Regents approved this policy on _____/______/_______. (Attach a copy of Board of Regents meeting minutes showing approval of policy.) ☐ The Board of Regents rejected this policy on _____/______/_______. (Attach a copy of Board of Regents meeting minutes showing rejection of policy.)
POLICY COORDINATOR
Signature	Date
Printed Name