Fee Justification
Fee justification forms should be submitted for every course change that has an associated fee. In general, all science and
technology courses and some language and mathematics courses are included in this category.
Fee: Check only one
New
Change
No Change
Delete
Course Number:
Title:
Current Fee Amount:
Recommended Fee Amount:
Effective Term/Year:
Cost per student must not exceed justification; show a breakdown of cost per student to justify fee:
ClusterChairReviewStatus:
Approved Denied
Curriculum Coordinator Use Only
Date Approved by Executive Council and/or Board of Trustees:
R
EV 7/2018 (F
EE CHANGES MUST BE APPROVED BY THE EFSC BOARD OF TRUSTEES PRIOR TO IMPLEMENTATION)
Introduction to Anesthesia, Surgery and Radiology
Syringes $7/student, needles $7.50/student, IV catheters ($0.80 x 20) $16/student, injection caps
($0.45 x 20) $9/student, prep materials (gauze, cotton, disinfectants, vet wrap) $5/student, Xray film (6
plates) $8.50/student, Surgical gloves (10-20 pair) $30/student, exam gloves (1 box) $7/student, Fluids
$20/student, Radiology processing $5.55/student, Injectable sedation $5/student
Total cost = $120.55