Lab Fee Application | Academics | Utah Tech University

Submitters Information

First Name *

Last Name *

Email Address *

Lab Fee

Type of Lab Fee *

New Lab Fee

Change Existing Lab Fee

Change From Previous Course Fee

Eliminate Lab Fee? *

Yes

No

Lab Fee

What was the Previous Lab Fee?

Reason for the Previous Fee? *

Expedited Process

Class

Program Description

Colleges

Department *

List of Course(s)

Students Affected Per Semester *

Students Affected Per Academic Year *

Course Comparison

Must Complete All Comparable Courses (minimum of 1 in USHE system)

Course 1

Course Name *

University *

Fee *

Course Catalog Description *

Why was this course used as a comparison? *

Course 2

Course Name *

University *

Fee *

Course Catalog Description *

Why was this course used as a comparison? *

Fee Details

What is the Purpose of the New Fee Creation/Increase/Decrease? *

Breakdown of Fees

A detailed quantitative calculation and analysis needs to be placed in this form to justify any fee amount.

Students Per Class *

Fee Required for: *

Equipment

Consumables

Licences

Other

Equipment Fee *

Equipment Description *

Cost Per Students

Consumable Fee *

Consumable Description *

Licenses Fee *

License Description *

Other Fees *

Other Description *

Impact on Course(s) if the Application is Denied? *

Any further comments or explanations