Use this page for informational purposes only. Do not copy/paste this template. Instead, please download the official policy template.
University of Louisville
[This policy applies to whom? Example: University Community (administrators, faculty, staff and students)]
POLICY NAME (R*)
Title (avoid the use of policy)
EFFECTIVE DATE (R*)
Original date of implementation (adoption date)
POLICY NUMBER (R*)
alpha-numeric format (e.g. PER-1.01, ICO-1.01)
POLICY STATEMENT (R*)
The university’s official position. States the policy’s intent and mandated actions or rules to achieve the university’s objective/position. Generally, it should be brief and have longevity. Standards and guidelines to support the policy statement should be included in the Related Information section.
REASON FOR POLICY (O*)
Background information explaining the need and purpose for the policy. Reference external requirements (law, regulations) and university decisions that support why we have the policy.
RELATED INFORMATION (O*)
Standards and guidelines to support the policy statement and/or links to related policies, procedures, guidance, standards, and regulations.
Standards are mandatory controls and guidelines are non-mandatory recommendations or best practices that support the policy.
Include defined terms that have particular meaning or need for interpretation relative to the policy or provide links to a central glossary.
Include link to the University Procedures or list the procedures within this template. A university procedure is strictly operational. Procedures contain a series of consecutive action steps related to a policy that specifies how a particular policy should be carried out. Procedures may have detailed instructions, definitions, and/or forms that facilitate policy compliance.
Generally, procedures change more frequently than policy and have a separate approval process.
List university areas (i.e. units/departments/offices/programs) responsible for carrying out specific actions in adhering to the policy. List key responsibilities assigned to the university area. Do not include the university area’s detailed procedures in fulfilling the assigned responsibility.
FORMS/ONLINE PROCESSES (O*)
Include links to related forms or online processes.
Revision Date(s): Include date last revised (this date should not be the same as the effective date) and previous revised dates
Reviewed Date(s): Include date of last review.
ADMINISTRATIVE AUTHORITY (R*)
Title of President’s Leadership Team Member or designee
RESPONSIBLE UNIVERSITY DEPARTMENT/DIVISION (R*)
Title of Administrative Oversight Department/Office/Program
Address, City, State
General Telephone Number
The University Policy and Procedure Library is updated regularly. In order to ensure a printed copy of this document is current, please access it online at http://louisville.edu/policies.
*R = Required *O = Optional