EXECUTIVE SUMMARY:

Policy Click here to enter policy number and title.

Date:	Click here to select the date.

Sponsor:	Click here to enter policy sponsor’s name.

Steward(s):	Click here to enter the name(s) of the policy’s steward(s).

Policy Process:	Click here to choose the policy process from the drop-down menu.

Policy Action:	Click here to choose a policy action.

Policy Office Editor:	Click here to enter the name of the Policy Office embedded editor.

Embedded Attorney:	Click here to enter the name of the embedded attorney from OGC.

Issues/Concerns (including fiscal, legal, and compliance impact):

Click here to enter text. Please note:
• If this is a temporary emergency policy, provide the reason for the emergency and the anticipated effective date.

• When applicable, provide legal references and compliance requirements.

• When applicable, provide information on fiscal impact of policy (fines for non-compliance, etc.)

Suggested Changes: Click here to enter proposed changes to policy.

Requested Approval from President’s Council: Click here to specify which stage the policy will enter upon approval.

Proposed Drafting Committee: Click here to enter the names of the proposed members of the policy drafting committee.

Target Date for Stage 1 Draft to Enter Stage 2: Click here to enter a date.

Target Date for Board of Trustees Review: Click here to enter a date.

Projected Timeline: [Leave blank. To be filled in by the Policy Office.]