COURSE ADDITION/REVISION/TERMINATION FORM
(See back of form for instructions)
ADDITION ___ REVISION ___ TERMINATION ___
1. COURSE NUMBER ___ ___ ___ ___ ___ 2. COURSE TITLE _________________________________________________________
3. IF REVISION: Previous Course No. __________________ Previous Title _____________________________
4. FOR ADDITIONS AND REVISIONS - 5. FOR TERMINATIONS ONLY -
FIRST TERM/YEAR TO BE OFFERED: LAST TERM/YEAR TO BE OFFERED:
Fall___ Spring___ Summer___ Term_____ Fall___ Spring___ Summer___ Term______
6. COLLEGE: DEPARTMENT NAME:
7. CIP CODE: _________________
8. FIXED CREDIT HOURS: YES___ NO___ 9. VARIABLE CREDIT HOURS: YES___ NO___
___Total Hours ___Total Min Hours ___Max Total Hours
___Lec Hours ___Min Lec Hours ___Max Lec Hours
___Lab Hours ___Min Lab Hours ___Max Lab Hours
10. REPEATABLE COURSE TAKEN FOR CREDIT: YES_____ NO_____ If YES, total number of times course can be taken___________
11. COURSE LEVEL: 12. GRADE TYPE:
13. COURSE DEGREE RELATED: Degree related___ Developmental___
14. COURSE MEDIUM-Choose appropriate code:
15. FACULTY CREDIT HOURS: ___
16. CROSS-LISTED COURSE: NO_____ YES_____ WITH_________________ 17. SPECIAL COURSE FEE? (Must be Board approved)
YES_____ Amount $___________ NO_____
18. UNIVERSITY STUDIES COURSE:
19. Course Description (20 words or less) for University BULLETIN or Attach Electronic Syllabus:
COURSE APPROVAL SIGNATURES
Department Chairperson Dean of Kent Library College Council
College of Education Council University Studies Council Graduate Council
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Registrar’s Oce Use Only
SCACRSE____________ Bullen____________ Degree Audit____________ SHATATR____________
College of Health & Human Serv
011
RN-BSN Education Assessment
2018
51.38
Undergraduate
Submit
Credit/No Credit
0
V - Advising
No
Completion of evaluation survey and awarding of retroactive nursing credit
during the final semester of coursework. (0)
Gloria Green
Digitally signed by Gloria Green
Date: 2017.11.13 11:48:43
-06'00'
H. Hamner Hill
Digitally signed by H. Hamner Hill
Date: 2017.12.08 14:55:52
-06'00'
NS
Nursing
Barbara C.
Glackin
Digitally signed by Barbara C.
Glackin
Date: 2017.11.13 12:17:15 -06'00'
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Instructions for Proposing a New or Revised Course
1. Department prepares and approves CART, CAD, and sample syllabus.
2. Department prepares a memo explaining and justifying the course addition/revision/termination request. Why is this action necessary
and how does it benefit students?
3. Department contacts the Library Dean requesting library review for new/revised course, sharing the CART, CAD, and sample syllabus.
4. Library review is completed, and Library returns a memo with the findings of the review, and the CART with Library Dean’s signature.
5. Department transmits CART, CAD, sample syllabus, Library review memo, and justification memo to the appropriate College Council.
Instructions for Completing Course Addition/Revision/Termination Form
1. Course Number: Two letters (discipline) and three numbers (i.e., EN 140).
2. Course Title: Full name of course.
3. If Revision: Indicate previous course number and/or title if change has been made. A new course number must be used if the revised
course is not equivalent to the previous course offered.
4. For Additions and Revisions-First Semester/Year To Be Offered: Indicate first semester/year course is to be offered.
5. For Terminations Only-Last Semester/Year To Be Offered: Indicate last semester/year course is to be offered.
6. College/Department Name: Please choose the College and Department Name.
7. CIP Code: Enter six digit code number. Contact Institutional Research for information.
8. Fixed Credit Hours: Fill in total credit hours. If course is lecture only, the lecture hours are the same as total hours and lab hours are left
blank. For lab courses, fill in actual credit hours for lecture and lab. Do not use contact hours for lab hours.
9. Variable Credit Hours: Indicate total minimum hours and total maximum hours for which credit can be received. Indicate minimum and
maximum lecture and lab hours as appropriate.
10. Repeatable Course for Credit: Indicate if students will be allowed to enroll in this course more than once without having it counted as a
repeated course. NOTE: If the course allows for multiple repeats, it is outside the normal repeat procedure. If a student making a grade
of ‘D’ or ‘F’ wants to repeat the course for a better grade, special handling is required.
11. Course Level: Choose appropriate course level.
12. Grade Type: Indicate if course is standard grade (A, B, C, etc.) or Credit/No Credit
13. Course Degree Related: Indicate if course is to be offered for degree credit or developmental credit.
14. Course Medium: Choose appropriate type of course. For fee purposes this is most important for workshop and KSAM courses.
15. Faculty Credit Hours: Faculty Credit Hours are the same as credit hours for the course.
16. Cross-listed Course: List course that is cross-listed across disciplines (e.g., PY120/CF120)
17. Special Course Fee: Indicate course fee amount as approved by Board of Regents
18. University Studies Course: Choose NO, EN100, First Year Introductory Course, or the category in which the course falls.
19. Course Description for University BULLETIN: Attach electronic syllabus for new or revised courses or type course description as it will
appear in University BULLETIN. Description is limited to 20 words.
Updated 09/08/17