ACADEMIC PROGRAM CHANGES

MODEL BUDGET FORM

EXPENSE ESTIMATES Personnel Services	Year 1	Year 2	Year 3	Year 4
Administrators
Faculty
Support staff
Others
Fringe Benefits _____%
Total Personnel
Operating Expenses
Instructional Resources
Travel
In-State
Out-of-State
Other
Total Operating Expenses
Capital
Facilities
Equipment
Library Holdings
Other
Total Capital
Student Assistance
Assistantships
Fellowships
Stipends/Scholarships
Total Student Assistance
Total Expenditures

REVENUE ESTIMATES	Year 1	Year 2	Year 3	Year 4
Tuition
First Year Students
In-State (#students ___, rate ___)
Out-of-State (#students __, rate __)
Second Year Students
n-State (#students ___, rate ___)
Out-of-State (#students __, rate __)
Third Year Students
In-State (#students ___, rate ___)
Out-of-State (#students __, rate __)
Fourth Year Students
In-State (#students____, rate____)
Out-of-State (#students __, rate __)
TOTAL TUITION
Mandatory Fees (#students_,rate__)
Grants
Contracts
Other Revenues
TOTAL REVENUES

BUDGET SUMMARY	Year 1	Year 2	Year 3	Year 4
TOTAL REVENUES
TOTAL EXPENDITURES
EXCESS/DEFICIENCY Revenues over Expenditures