Impact Statement:
Centre for University Partnerships (CUP) /

The completed Impact Statement will enable Centre for University Partnerships (CUP) to determine potential impacts on existing services and infrastructure as a result of the introduction of new Program and Qualification proposals byFaculties. The Centre for University Partnerships (CUP) is responsible for the support of any University partnerships, where students, either domestic or international, are enrolled in University programs/qualifications. Changes to existing modes and Programs of study, and/or the introduction of new Programs/Qualifications must take into account the resources and available services within Centre for University Partnerships to support the program/qualification.

  1. The Impact Statement must be completed for all new Program/Qualification proposals and/or proposals to alter an existing Program.
  2. Full Program/Qualification documentation must be provided to enable accurate assessment by Centre for University Partnerships. Financial data is not required to be provided by the Faculty/Centre.
  3. All sections of the form must be completed.
  4. The completed form must be forwarded to the Director, Centre for University Partnerships or nominee for endorsement via
  5. Return to Executive Assistant of relevant Faculty/Centre for final approval.

Part 1 – General:to be completed by the Faculty/Centre

Faculty:
Program/Qualification Title:
Program/Qualification Code:
Proposed Start Date:
Anticipated enrolment: / EFTSL / On campus numbers
(Tick as appropriate) / Off campus numbers
Proposed Delivery Locations: / Horsham Campus / Camp St Campus
(Tick as appropriate) / SMB Campus / Mt Helen Campus
Gippsland Campus / Berwick Campus
Partner Provider / Other
Partner Provider’ or 'Other', please provide details, including partner name and location
Proposed Delivery Mode/s:
(Tick relevant boxes and provide details below) / On Campus / Off Campus / Online
Workplace / Flexible\Blended

Part 2 – Centre for University Partnerships (CUP) Impact:to be completed bythe Faculty/Centre

Impact / Issues

CUP Approval:

Based on the information provided above,

 The program/qualification creates no new demands on Centre for University Partnerships that cannot be met from within existing funding allocations. The program/qualification is supported.

 Information provided indicates that the Faculty has NOT adequately investigated and addressed the provision of Centre for University Partnerships resource needs and support for students enrolled in this program/qualification.

Additional comments:

Director, Centre for University Partnerships; or Nominee (Please sign) / Date:
____/____/____

Part 3 – Overall Assessment and Approval:to be completed by Executive Dean ofFaculty/Centre Director

I verify that I have completed the required Impact Statements and undertaken the appropriate consultations with relevant Centre for University Partnerships staff where necessary. I am satisfied that the Faculty/Centre has identified any potential impact on Centre for University services, and that strategies have been agreed to address any issues identified.

Executive Director of Faculty/Centre Director
(Please sign) / Date:
____/____/____

Warning – Uncontrolled when printed! The current version of this document is kept on the Federation University website.

Authorised by:Chair, VET Curriculum and Quality CommitteeOriginal Issue:16/10/2012

Document Owner: University RegistrarCurrent Version:01/01/2018

Page 1 of 2Review Date:01/01/2019

CRICOS Provider Number – 00103D