Committee on Courses of Instruction

COMMITTEE ON COURSES OF INSTRUCTION
ACADEMIC SENATE - BERKELEY
COURSE APPROVAL FORM
TO REQUEST COURSE MODIFICATION,
APPROVAL, OR WITHDRAWAL
SEE BOTTOM OF PAGE FOR
LINK TO COURSE TOOLBOX / Fields marked with an asterisk (*) are required for any change. Fill out the form with NEW information. See the Toolbox for detailed instructions.
Department and Course Number *
Date Submitted * / Effective Term (e.g., fall 2011) *
Course Title * / Course Repeatable for Credit?
No Yes (note conditions of the repeat in
the Remarks section)
Abbreviated Transcript Title (19 spaces maximum) / Grading (Letter, P/NP, S/U, IP) / Units / Offered (F, Sp, Su)
Courses that will restrict credit / Instructor(s)
Prerequisites
Final Exam (for undergraduate courses, check one) Written final exam conducted during the scheduled final exam period
None (explain in Remarks section) Alternative method of final assessment (describe):
Duration of Course
(check all that apply) / Format (e.g., 3 hrs LEC + 1 hr DIS per week)
(fill out for each term course will be offered) / TIE Code / Estimated Total Number of Required Hours of Student Work Per Week
14 weeks
10 weeks / Fall/Spring
Summer
8 weeks / Fall/Spring
Summer
6 weeks / Fall/Spring
Summer
Other:
week(s) / Fall/Spring
Summer
Course Description (500 character limit; additional text will be truncated. The course description, along with the course title, unit value, offered terms, instructional format, prerequisites, course restrictions, and instructor name(s) will be published in the General Catalog)
Check as many as apply. * New courses or substantial changes should have complete syllabus attached.
New course / Change course title / Change prerequisite
Withdrawal of course
(last offered: ) / Change course description / Change restrictions
Special purpose course to be offered only once / Change unit value / Change grading option
Summer session only course / Change instructional format / Change repeatability
American Cultures course / Change course number (from to ; last term offered: ) / Change final exam
Change method Reinstate
Restoration of course (previous course #; last term offered: ) / Other (Explain in Remarks)
Remarks (or attach separate sheet)
Chair’s Signature * / Committee on Courses of Instruction / Approval Date
Dean’s Signature (if required)
RETAIN: ACADEMIC SENATE: 5 YEARS – PERMANENT
OTHER COPIES: UNTIL SUPERSEDED / Last modified 11/2009 by Academic Senate
Course Toolbox