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APPENDIX A FACULTY REQUISITE PROPOSAL FORM This form (Tidewater Community College)

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APPENDIX A
FACULTY REQUISITE PROPOSAL FORM
(This form is used for creating, modifying, and eliminating non-Master Course File requisites)
This form is to be used by full-time discipline faculty (or academic deans where no full-
time faculty exist) for submitting and documenting requisite requests to the Curriculum
Committee and Vice President for Academic Affairs and Chief Academic Officer for
action. Faculty shall work with the Associate Vice President for Academics to complete
this form. Forward this form to the Curriculum Committee according to the procedures in
section 4.1.3 of the policy.
Course for which the requisite is requested (course title and number):
______________________________________________________________________
Course requested as a prerequisite and/or corequisite (check all that apply)
(course title and number):
______________________________________________________________________
Proposed by (faculty name):
__________________________________________ Date: ______________________
Provide (in narrative form) rationale for the proposed requisite based on course content
and student learning outcomes (please attach additional pages if needed):
Tidewater Community College
Credit Course Requisites
Appendix A
Faculty Requisite Proposal Form Page 2 of 4
Provide evidence that supports the need for a requisite. Evidence may include but is not
limited to established best practices, evidence from documented studies, accrediting
requirements, requirements of four-year colleges where our students transfer, and/or
professional organization guidelines (please attach additional pages if needed):
List any existing requisite(s) enforced in SIS:
Explain the impact of requisite(s) on the program length in those programs where this
course is a requirement and/or an elective. Is this impact in accordance with the limits
defined in the VCCS Policy Manual (in Table 5.1.b) Please attach additional pages if
needed.
Reviewed by (academic dean name): _______________________________________
Tidewater Community College
Credit Course Requisites
Appe5HTXHVWHGn5dix A
Faculty Requisite Proposal Form Page 3 of 4
Recommended by vote of college-wide full-time faculty as defined in section 4.1.2
of the procedures:
Describe process and document the vote (please attach additional pages if needed):
Date(s) of
faculty votes: __________________________________________________
Requested effective date: _________________________________________________
Signature: __________________________________ Date: ______________________
(Faculty/Dean submitting proposal)
Action by Curriculum Committee:
Recommended: Not Recommended:
If not recommended for approval, please provide an explanation:
Curriculum Committee Signature: _________________________ Date: ____________
Reviewed by (academic deanVVLJQDWXUH):
RHTXHVWHGLPSOHPHQWDWLRQVHPHVWHU: _______________________________________
Signature: __________________________________ Date: ______________________
Tidewater Community College
Credit Course Requisites
Appendix A
Faculty Requisite Proposal Form Page 4 of 4
Action by the Vice President for Academic Affairs and Chief Academic Officer:
Approved: Not Approved:
If not approved, please provide an explanation:
Effective date: __________________________________________________________
Date VP action communicated to appropriate constituent groups: __________________
Name: ________________________________________________________________
Signature: __________________________________ Date: ______________________
Date entered into college’s SIS database: ____________________________________
Signature: __________________________________ Date: ______________________
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APPENDIX A FACULTY REQUISITE PROPOSAL FORM This form (Tidewater Community College)

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Completed 27 July 2020

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