University Resources, Operations and Policies

 

Appendix F – Policy Template


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Policy Title


Policy Statement


Required – Provide a brief introductory description of this policy.


Reason for Policy


Required – Describe the purpose of this policy and what it is intended to accomplish or govern.


Who is Governed by This Policy


Required – Describe who this policy affects.


Policy


Required – Include the full text of the policy. For subheadings within the policy, please use the style “Heading 2,” and use “Heading 3” or smaller for any inner subheadings.


Definitions


This section should define any terms used in the policy that are important to compliance or that might be misunderstood. Defined terms should be capitalized. 

If this section is not required for this policy, please use the following text: This policy does not have definitions associated with it at this time. Upon periodic policy review, this area will be evaluated to determine if additional information is needed to supplement the policy.


Procedures


Place links to associated procedures here. 

If this section is not required for this policy, please use the following text: This policy does not have procedures associated with it at this time. Upon periodic policy review, this area will be evaluated to determine if additional information is needed to supplement the policy.


Forms


Include links to any forms or templates related to this policy. Forms related to procedures should be linked directly from the procedures.

If this section is not required for this policy, please use the following text: This policy does not have forms associated with it at this time. Upon periodic policy review, this area will be evaluated to determine if additional information is needed to supplement the policy.


Related Information


List and link to layperson summaries, if possible, of applicable law or regulations. Links to other University policies that affect this policy should be included. 

If this section is not required for this policy, please use the following text: This policy does not have related information at this time. Upon periodic policy review, this area will be evaluated to determine if additional information is needed to supplement the policy.


Policy Owner


Required – Provide the following information for the primary owner of this policy.

Name:
Title:
Office:
Phone Number:
Email:


Secondary Contacts


Required – Provide the following information for any individuals, in addition to the policy owner, who can answer questions about this policy.

Contact Phone Email
     

   
     

 


Document History


Required – This section must contain the following dates or placeholders for future dates.

  • Last Reviewed Date:
  • Last Revised Date:
  • Policy Origination Date:

Who Approved This Policy


This section should include the name and title of each Policy Approver.


Tags


Provide relevant keywords to this policy pertaining to the audience, topic, and/or owner. 

Additional Information for Policy Library

Required – Who Should Have Access to This Policy?

Should this policy be publicly accessible, or should access be locked down to one or more of the following internal audiences?

  • The entire internal community (anyone with an Adelphi account can view)
  • Students
  • Faculty
  • Staff and Administration
  • Other (please specify)
 
 
 
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