Institutions should complete this form to declare any of the following changes to an existing HLC-approved academic program. Submit the form separately for each program in which changes are being made.

• Number of Clock or Credit Hours. A change of 25% or more to the number of clock or credit hours required to complete a degree or certificate program, either in a single change or as the sum total of aggregate changes since the institution’s most recent accreditation review (comprehensive evaluation, Assurance Review, Probation visit or Show-Cause visit).
  
  Note: Institutions may also report changes to clock or credit hours of less than 25%. HLC will add this information to its records and treat it as a notification.
• Program Content. A change of 25% or more to the content of a program, either in a single change or as the sum total of aggregate changes, since the most recent accreditation review.
  
  Program content changes include changes to a program’s curriculum (measured by clock or credit hours), learning objectives, competencies or required clinical experiences. This would include changes in the general education courses required for program completion and not merely the courses within the discipline, program or major.
• Method of Delivery. A change in the method of delivery for a program.
  
  If your institution is changing a program’s method of delivery to credit-based competency-based education or distance education, you will need your institution's relevant stipulation from its Institutional Status and Requirements (ISR) Report.
• Customized Pathways or Abbreviated or Modified Courses. The development of customized pathways or abbreviated or modified courses or programs to accommodate a student's existing knowledge (such as from employment or military service) and to close competency gaps between demonstrated prior knowledge and the full requirements of a particular course or program.

Do not use this form if:

• Your institution is currently on Notice, Probation or under a Show-Cause Order (placed on the sanction or Show-Cause Order after July 1, 2020);
• In the prior three years, your institution has been on Notice, Probation or under a Show-Cause Order (placed on the sanction or Show-Cause Order after July 1, 2020); or
• Your institution is currently under a provisional certification status with the U.S. Department of Education, and that status was assigned on or after July 1, 2020.

Institution that meet either of the conditions above are subject to additional substantive change requirements and should complete this alternative screening form.

Questions with an asterisk (*) are required.