Fillable CSUDH New Course Form The sections listed below (California State University, Dominguez Hills)

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CSUDH New Course Form The sections listed below (California State University, Dominguez Hills)

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The CSUDH New Course Form The sections listed below (California State University, Dominguez Hills) form is 8 pages long and contains:

  • 6 signatures
  • 56 check-boxes
  • 66 other fields

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File type: PDF

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CSUDH
CALIFORNIA
STATE
UNIVERSITY
,
DOMINGUEZ
HILLS
I
1000
EAST
VICTORIA
STREET
I
CARSON
,
CALIFORNIA
90747
ACADEMIC AFFAIRS
Office of Academic Programs
Proposed effective term
Course Information (subject, number, title, units, description, requisites)
Student Learning Outcomes
List of potential texts
Sample assignments/assessment tools
SLO -to- PLO matrix
Identify if the course will have a special designation (GE, Writing Intensive, Service Learning)
Program Utilization
Grading Method
Repeatable for credit
Mode of instruction (Class type & CS#)
Delivery method
Enrollment restrictions
Typically offered
Evidence of consultation with affected department(s)/program(s)
Justification for new course
Campus-wide sharing (Curriculum Register) synopsis
New Course Form
The sections listed below are required on New Course form. Please review the the proposal and check off each section to
indicate that the section has been completed and
include the completed checklist as the cover page for the proposal. If
you have any questions regarding this checklist and/or form, please contact the Office of Academic Programs.
CSUDH
CALIFORNIA
STATE UNIVERSITY,
DOMINGUEZ
HILLS
I I I
I I
Office of Academic Programs • WH 440 • creview@csudh.edu
REQUEST FOR NEW COURSE
Date: College: Dept.: Extension:
Proposer Name: Email:
Proposed Effective Term:
1. Course Information
Course Subject:
Course Number:
Units: ______ min. ______ max.
Course Title (Full title for university catalog):
Abbreviated Title (30 characters total – spaces included)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Prerequisite course(s): List all required and recommended prerequisite courses
Required:
Recommended:
Co-requisite course(s): List all required and recommended co-requisite courses
Required:
Recommended
Course Description as it will appear in the University Catalog (40 words or less):
AP (Rev. 2/2020)
CSUDH
CALIFORNIA
STATE UNIVERSITY,
DOMINGUEZ
HILLS
Office of Academic Programs • WH 440 • creview@csudh.edu
REQUEST FOR NEW COURSE
Student Learning Outcomes: List all SLOs below
Potential Text(s)
List sample assignments/assessment tools:
AP (Rev. 2/2020)
CSUDH
CALIFORNIA
STATE UNIVERSITY,
DOMINGUEZ
HILLS
Office of Academic Programs • WH 440 • creview@csudh.edu
REQUEST FOR NEW COURSE
Complete and attach a matrix demonstrating how the assignments align to the SLOs and how the SLOs align
to the Program Learning Outcomes.
2. Are you proposing this as a GE course? Yes No
If yes,
a. Area _______
b. Complete and attach the GE Program Learning Outcome Matrix
3. Are you proposing this course to have a special designation?
If yes,
a. Select special designation
Writing Intensive
Yes No
Service Learning Course
b. Include rationale for special designation
4. List ALL academic programs where course is utilized:
5. G
rading Method:
A-F and CR/NC by petition
CR/NC
A-C/NC (available for undergraduate courses only)
A-C-/NC (available for undergraduate GE Basic Skills courses only)
A-B/NC (available for graduate courses only)
RP (available for graduate courses only)
6. Repeatable for credit? Yes No
If yes:
a. Max number of units: ____.
b. Max number of completions: ____.
AP (Rev. 2/2020)
CSUDH
CALIFORNIA
STATE UNIVERSITY,
DOMINGUEZ
HILLS
Office of Academic Programs • WH 440 • creview@csudh.edu
REQUEST FOR NEW COURSE
c. Multiple sections in same term: Yes No
7. Mode of Instruction (Check all that apply and identify the CS# and # of units):
Lecture C/S# ______ # of units _____
Seminar C/S# ______ # of units _____
Laboratory C/S# ______ # of units _____
Activity C/S# ______ # of units _____
Production C/S# ______ # of units _____
Supervision C/S# ______ # of units _____
8. Delivery Method: Indicate ALL requested methods of delivery in which the course may be offered. For hybrid,
include the percentage of online and face-to-face.
Face-to-face
Online
Hybrid % online ____ % face-to-face _____
Television
Off Campus - Include preliminary list of all requested location/facilities
9. Enrollment Restriction(s) (e.g., seniors only, restricted to majors only, etc.):
AP (Rev. 2/2020)
CSUDH
CALIFORNIA
STATE UNIVERSITY,
DOMINGUEZ
HILLS
Office of Academic Programs • WH 440 • creview@csudh.edu
REQUEST FOR NEW COURSE
10. Predicted enrollment and number of sections:
Number of
Sections
Summer
Fall
Winter
Spring
11. Typically offered (Check all that apply)
Fall
Every other fall
Spring
Every other spring
Summer
Winter
Offered as needed
12. Does this course replace any other courses? Yes No
If yes:
a. Course subject: _____________
b. Course #: ___________
c. Course title ____________________________________________________________________
13. Does this proposal affect another department(s)? Yes No
If yes
a. List affected department(s)
b. When the department(s) was/were notified (date)? _______________
c. Attach a copy of the notification(s) and any responses received.
AP (Rev. 2/2020)
CSUDH
CALIFORNIA
STATE UNIVERSITY,
DOMINGUEZ
HILLS
Office of Academic Programs • WH 440 • creview@csudh.edu
REQUEST FOR NEW COURSE
14. Justification for the course that addresses the following:
a. t
he need for the course, including whether being proposed in response to academic program review or
accreditation recommendations and any other relevant data and/or documentation
b. the level of course and prerequisites, including having NO prerequisites for a 300, 400, or 500 level
courses
c. CR/NC only grading
15. Course Fees: Will the course require a new course fee? Yes No
a. If yes, contact the University Fee Committee via the Office of Administration and Finance for fee
proposal information and attach proposal or approval.
16. Additional forms. If this course is intended to be part of an existing or new program, submit the appropriate form.
17. Curriculum Register Synopsis: Include summary of changes to be shared in campus-wide sharing
AP (Rev. 2/2020)
CSUDH
CALIFORNIA
STATE UNIVERSITY,
DOMINGUEZ
HILLS
Office of Academic Programs • WH 440 • creview@csudh.edu
REQUEST FOR NEW COURSE
1.
Faculty Proposer (Print)
Signature
Date
2.
Department Chair/Program Coordinator (Print)
List names of department faculty who approved this
proposal. (Note: The number of names listed must
constitute a simple majority of voting faculty members in
the department.)
Signature
Date
3.
Dept. Curr. Com. Chair/ Faculty Designee (Print) Signature Date
4.
College Curriculum Committee Chair (Print) Signature Date
5.
University Curriculum Committee Chair (Print) Signature Date
6.
VPAA/Designee (Print) Signature Date
AP (Rev. 2/2020)
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CSUDH New Course Form The sections listed below (California State University, Dominguez Hills)

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Completed 18 August 2020

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