CURRICULA ACTION REQUEST FORM

NEAGSchool of Education

Curriculaand CoursesCommittee

All parts of this form should be completed for all course action requests. Submit ONE ELECTRONIC copy to the Chair,Curricula and Courses Committee,only after the required Departmental approval is secured. On separate pages provide all the information requested in the Curricula Action Request Form that apply to the requested action(s). Submit materials electronically to the Chair,Curricula and Courses Committee,at the published date prior to the committee meeting at which you want them reviewed.

COURSE NUMBER ______□ Current □ Proposed

COURSE TITLE ______

INITIATING DEPARTMENT ______

CONTACT PERSON______U-BOX______

PHONE______E-MAIL______

PROPOSED COURSE INSTRUCTOR(S) ______

ACTION REQUESTED (check all that apply)

Course: □ new □ experimental □ revision □ dropping course

Program/concentration: □ new □ revision

DATE OF DEPARTMENTAL APPROVAL: ______

Departmental Minutes (must be included electronically)

DEPARTMENT CHAIRPERSON APPROVAL (attach ALL Depts electronically):

[EPSY; EDLR; EKIN; EDCI]

PROPOSED IMPLEMENTATION DATE: Semester: ______Year: ______

INTERNAL USE ONLY:

DATE ENTERED INTO NSOE DATABASE ______

DATE FORMS SENT TO REGISTRAR ______

Complete the following sections if you are proposing a:

NEW COURSE, WORKSHOPEXPERIMENTAL COURSE

PROPOSED TITLE AND COMPLETE CATALOG COPY:

(Include course credits and restrictions for registration)

RATIONALE FOR ACTION REQUESTED (Use additional sheets as necessary):

Course Syllabus including course description and course outline. (include as email attachment)

Supporting documentation that MUST be provided at the time of submission:

  1. Departmental minutes
  2. Department chairperson’s (all departments) approval (email)
  3. PeopleSoft form (if undergraduate course)
  4. Graduate School Transmittal form (if graduate course)

Complete the following sections if you are proposing:

COURSE REVISIONS

EXISTING TITLE AND COMPLETE CATALOG COPY:

PROPOSED TITLE AND COMPLETE CATALOG COPY:

(Include course credits and restrictions for registration)

RATIONALE FOR ACTION REQUESTED (Use additional sheets as necessary):

Course Syllabus including course description and course outline. (include as email attachment)

Supporting documentation:

  1. Departmental minutes
  2. Department chairperson’s (all departments) approval (email)
  3. PeopleSoft form (if undergraduate course)
  4. Graduate School Transmittal form (if graduate course)

Complete the following sections if you are proposing to:

DROP A COURSE

COURSE TITLE AND NUMBER

RATIONALE FOR DROPPING THE COURSE

Supporting documentation:

  1. Departmental minutes
  2. Department chairperson’s (all departments) approval (email)

Complete the following sections if you are proposing:

PROGRAM/CONCENTRATION CHANGES

CURRENT PROGRAM/CONCENTRATION NAME:

RATIONALE FOR ACTION REQUESTED (Use additional sheets as necessary):

CURRENT EIGHT SEMESTER SEQUENCE (attach electronically)

SUPPORTING DOCUMENTATION

  1. Old eight semester sequence
  2. Departmental minutes
  3. Department chairperson’s (all departments) approval (email)
  4. PeopleSoft form (if undergraduate course)
  5. Graduate School Transmittal form (if graduate course)

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Curricula Action Form – NSOE. Version 10.20121