Fillable COURSE ACTION FORM (Jackson State University)

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COURSE ACTION FORM (Jackson State University)

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COURSE ACTION FORM
Date __________________ Semester Needed ____________________________________
College ___________________________________ Department_______________________
Email ____________________________________ Phone Number ____________________
TITLE OF COURSE ________________________________________________________
TYPE OF COURSE: _______ Online _______ Hybrid _______ Other
RATIONALE
SIGNATURE
____________
______________________________ _________ ___________________________________________ _________
Department Chair Date Dean of College Date
__________________________________________ __________ ___________________________________________ _________
Chair, Cross-Ref. Dept. Date Dean, Cross-Ref. Dept. Date
ACTION OF ACADEMIC AFFAIRS
_______ Approved _______Disapproved _______With Conditions _______Tabled
________________________________
______
Academic Affairs Specialist Date
RECOMMENDED ACTION
_______ Approved _______Disapproved _______With Conditions _______Tabled
______________________________________________ ________
Assistant Director, JSUOnline
Date
Course Proposal Form & Syllabus must be attached to this form.
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Completed 22 August 2020

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