EQUITY ASSESSMENT COMMITTEE (EAC) FORM
Policy Number and Title: Click or tap here to enter text.
Sponsor:	Click here to enter the name of the policy’s sponsor.
Steward(s):	Click here to enter the name(s) of the policy’s steward(s).
EAC Review:	Click here to select the date.
Owner Review:	Click here to select the date.
UVU Scope (Groups Impacted):
Adult learners Age (40+) Color First-generation student status Individuals with apparent or non-apparent disabilities National origin and citizenship status	Pregnancy, pregnancy-related conditions Race and ethnicity Religion, spirituality, and worldviews Sex, gender identity, and gender expression Sexual orientation Socioeconomic status Veteran status (including uniformed military status)

Note: This form is for internal use only by the EAC and policy owners (sponsors, stewards, and coordinators). This form captures general equity concerns and those that impact the specific groups listed. This form will accompany the Stage 2 draft.

Section	Groups Impacted	General Equity	Equity Concern	Recommendation	Policy Owner Proposed Solution