Template for Reporting Number and Qualifications Of

Comprehensive Standard 3.9.3 Qualified Staff: Students Affairs and Services

Name of Institution:

Date Form Completed:

Instructions. If your institution offers instruction for 50% of a degree program at more than one location, please complete one template that represents a summary for the entire institution including all of its locations where 50% of a degree program may be earned. Also complete a separate form for each of the locations where 50% of a degree program may be earned (form follows).

Column One: List each student support services staff member. Column Two: Indicate the title of each person listed. Column Three: Describe the individual’s primary responsibilities in providing student support services. Column Four: Indicate the staff member’s academic qualifications pertaining to his or her responsibilities in providing the institution’s student support services. Column Five: Describe the staff member’s professional experience in the areas of student support services that qualify the individual to carry out his or her responsibilities. .

Summary Institutional Form

Educational Profession Name Title Responsibilities Qualifications experience Institutional Form by Location Reporting form for each location where instruction leading to a degree is offered

Instructions:

Column One: List each student support services staff member. Column Two: Indicate the title of each person listed. Column Three: Describe the individual’s primary responsibilities in providing student support services. Column Four: Indicate the staff member’s academic qualifications pertaining to his or her responsibilities in providing the institution’s student support services. Column Five: Describe the staff member’s professional experience in the areas of student support services that qualify the individual to carry out his or her responsibilities. .

Name of Location: ______FTE undergraduate enrollment during two most recent academic terms: ______FTE graduate enrollment during two most recent academic terms: ______

Institutional Form Reported by Location

Educational Profession Name Title Responsibilities Qualifications experience