Click to select Curriculum Council course action requested.

NOTE: Hyperlinks have been embedded which will provide applicable details and/or necessary resources for completion of this form.

Materials required in addition to this form: Please attach acourse outlinedescribing the content and general sequence of material to be covered and student work to be completed in this course. A syllabus is not required. If this course impacts a program, also attach a program guideline.

Division: / Click to choose Division. /
Date: / Click here to enter a date. / Proposed Implementation Term: / Type here. /
Initiated by: / Click here to enter text. /
Course Action: (Check all that apply.)
☐ / New course / ☐ / Pre/corequisites / ☐ / Change in title
☐ / Change in prerequisites / ☐ / Change in credit hours / ☐ / Change in description
☐ / Change in corequisites / ☐ / Delete from catalog / ☐ / Convert from Special Topics
☐ / GEM Proposal / ☐ / Minor Editing
☐ / Other (describe): / Click here to enter text for Other. /
Existing Course Information / Proposed Course Information
(Enter changes only.)
Course Department or Program / Click here to enter text. / Click here to enter text. /
Course Prefix/Subject / Click here to enter text. / Click here to enter text. /
Course Number / Click here to enter text. / See Registrar for availability. /
Course Short Title / Maximum of 29 Characters / Maximum of 29 Characters /
Course Long Title / Click here to enter text. / Click here to enter text. /
Course Credits / Click here to enter text. / Click here to enter text. /
Select Credit Hour Category(drop down)
Credit Hour Procedure / Hrs per week: / Enter hrs / For / Enter wks / Weeks / Hrs per week: / Enter hrs / For / Enter wks / Weeks
Credit Hour Equivalents / Click here to enter text. / Click here to enter text. /
SelectCredit Hour Category (drop down) / Hrs per week: / Enter hrs / For / Enter wks / Weeks / Hrs per week: / Enter hrs / For / Enter wks / Weeks
Credit Hour Equivalents / Click here to enter text. / Click here to enter text. /
Prerequisites / Click here to enter text. / Click here to enter text. /
Corequisites / Click here to enter text. / Click here to enter text. /
Pre/Corequisites / Click here to enter text. / Click here to enter text. /
Recommended Courses / Click here to enter text. / Click here to enter text. /
Standard Capacity / Click here to enter text. / Click here to enter text. /
Course Frequency / Click here to choose frequency. / Click here to choose frequency. /
Existing Course Description:(Copy from current catalog.)
Copy from current catalog. /
Proposed Course Description:(Underline additions and utilize strikethrough of text when deleting or modifying an existing description. When complete, email the complete text for your proposed course description to Communications & Marketing Director Stacy Hudson for final editing and style approval.)
Underline additions and utilize strikethrough of text when deleting or modifying an existing description. /
Rationale: (IfGEM course, completeGEM Rationale below.)
Click here to enter text. /
Course Outcomes: (If GEM course, complete GEM sections below. All other courses include course outcomes reflected in required Course Outline. )
Click here to enter text. /
Indicate any courses affected: (Please research and answer – do not leave blank i.e. if it affects prerequisites, corequisites, etc.
Click here to enter text. /
This course is included in a degree or certificate program. ☐ Yes ☐ No
Select all degrees or certificates affected.
Idaho Degrees and Certificates / Indicate the program(s) affected.
☐ / Associate of Arts Degree / Click here to enter text. /
☐ / Associate of Science Degree / Click here to enter text. /
☐ / Associate of Applied Science Degree / Click here to enter text. /
☐ / Advanced Technical Certificate / Click here to enter text. /
☐ / Intermediate Technical Certificate
(Technical Certificate) / Click here to enter text. /
☐ / Basic Technical Certificate
(Post-Secondary Certificate) / Click here to enter text. /
☐ / Academic Certificate / Click here to enter text. /
☐ / Certificate of Completion / Click here to enter text. /
☐ / Other (Describe) / Click here to enter text. /
Course is intended to meet (Check all that apply.)
☐ / GEM requirements
☐ / Developmental requirement
☐ / Professional or technical need
☐ / Special community interest
☐ / Workforce / Professional Developmental need
☐ / Division, Departmental, and/or major core requirement
General Education Abilities
The NIC General Education Abilities are embedded within the GEM competencies described below. For more information, the NIC Catalog and curriculum materials describe these abilities.

GEM Competency Area

/ Click here to choose GEM Competency Area. /
GEM Rationale: Briefly describe how this course orients students to the discipline when this may be the only course they take in the field. In addition, state why the course provides potential majors in the discipline with a meaningful introduction and preparation for further study.Also provide a brief rationale for any level of pre- or corequisites, if applicable.
Click here to enter text. /
GEM Alignment of Course Outcomes/State-level Competencies/Assessment
Successful student learning is supported by course design that provides opportunities to develop increasing sophistication with relevant content, concepts, practice and application. The relationship between GEM course outcomes and the state-level competencies should be clearly indicated in the second column below. In addition, regular feedback during the semester is expected to foster student learning and provide meaningful guidance on their demonstration of intended knowledge, skills and abilities. Provide a brief description of how this course has specific methods for assessing each course outcome in the third column.
Click here to choose State-level competencies. /
GEM State-level Competencies /

GEM Course Outcomes

These outcomes should also be listed in the attached course outline. / GEM Assessments
Provide specific examples of assessments. Not expected to be an exhaustive list, but representative of methods used.
Click here to choose competency 1. / Click here to enter text. / Click here to enter text. /
Click here to choose competency 2. / Click here to enter text. / Click here to enter text. /
Click here to choose competency 3. / Click here to enter text. / Click here to enter text. /
Click here to choose competency 4. / Click here to enter text. / Click here to enter text. /
Click here to choose competency 5. / Click here to enter text. / Click here to enter text. /
Click here to choose competency 6. / Click here to enter text. / Click here to enter text. /
Click here to choose competency 7. / Click here to enter text. / Click here to enter text. /

Intended Transferability of Course(Not needed for GEM proposals unless establishing out-of-state articulation.)Please provide confirmation emails or letters from Registrars’ offices to the Office of Instruction in a single document to accompany any new course proposal.

Institution / Prefix / Number / Direct
Transfer / Elective
Credit / Letter or
Articulation Agreement
☐ / Boise State University / Enter text / Enter # / ☐ / ☐ / ☐ Yes / ☐ No
☐ / Idaho State University / Enter text / Enter # / ☐ / ☐ / ☐ Yes / ☐ No
☐ / Lewis Clark State College / Enter text / Enter # / ☐ / ☐ / ☐ Yes / ☐ No
☐ / University of Idaho / Enter text / Enter # / ☐ / ☐ / ☐ Yes / ☐ No
☐ / Click here to enter text. / Enter text / Enter # / ☐ / ☐ / ☐ Yes / ☐ No
☐ / Click here to enter text. / Enter text / Enter # / ☐ / ☐ / ☐ Yes / ☐ No

Faculty Member(s) Submitting(Enter name below and submit form via email to Division Chair.)

Signature /

Date

Click here to enter name. / Click here to enter a date. /

Division Chair Recommendation(Enter name below and submit form via email to Dean.)

☐ / Approve
☐ / Disapprove
☐ / Abstain
Comments: Click here to enter text.
Signature / Date
Click here to enter name. / Click here to enter a date. /

Dean Recommendation(Enter name below and submit form via email to CC Recorder. CC Recorder will upload to SharePoint for review by CC Members.)

☐ / Approve
☐ / Disapprove
☐ / Abstain
Comments: Click here to enter text.
Signature / Date
Click here to enter name. / Click here to enter a date. /

Curriculum Council Recommendation to the Vice President for Instruction(Enter name below and submit form via email to CC Recorder after CC Approval.)

Signature of Curriculum Council Chair / Date
Click here to enter name. / Click here to enter a date. /
Curriculum Council Comments: Click here to enter text.

Disposition by the Vice President for Instruction(Uploading ofthis formto SharePoint by the VPI officeserves as signature.)

☐ / Approve
☐ / Disapprove
Comments: Click here to enter text.
Signature / Date
Click here to enter name. / Click here to enter a date. /

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