COURSE APPROVAL/CHANGE DOCUMENT
(See back of form for instructions)
1. ADDITION ___ REVISION ___ TERMINATION ___
2. IF REVISION: denote changes (i.e. Title only; Title, CIP and Description; etc.):
3. COURSE NUMBER ___ ___ ___ ___ ___ 4. COURSE TITLE ______________________________________________________
5. IF REVISION: Previous Course No. __________________ Previous Title __________________________________________________
6. FOR ADDITIONS AND REVISIONS - 7. FOR TERMINATIONS ONLY -
FIRST TERM/YEAR TO BE OFFERED: LAST TERM/YEAR TO BE OFFERED:
Fall___ Spring___ Summer___ Term______ Fall___ Spring___ Summer___ Term______
8. COLLEGE: 9. DEPARTMENT NAME:
10. CIP CODE (Classicaon of Instruconal Program / US Bureau of Labor Stascs): _________________
11. FIXED CREDIT HOURS: YES___ NO___ 12. VARIABLE CREDIT HOURS: YES___ NO___
___Total Credit Hours ___Min Total Credit Hours ___Max Total Credit Hours
___Lec Contact Hours ___Min Lec Contact Hours ___Max Lec Contact Hours
___Lab Contact Hours ___Min Lab Contact Hours ___Max Lab Contact Hours
___Other Contact Hours ___Min Other Contact Hours ___Max Other Contact Hours
13. CAN THIS COURSE BE TAKEN FOR ADDITIONAL CREDIT: YES_____ NO_____ If YES, total number of times course can be taken_______
14. MAXIMUM ENROLLMENT ALLOWED FOR COURSE: ______ Juscaon of maximum enrollment:
15. CLASS SCHEDULE TYPE/ FACULTY WORKLOAD: Choose appropriate schedule type:
Faculty Workload: ______ Class schedule type juscaon:
16. COURSE LEVEL: 17. GRADE TYPE:
18. DEVELOPMENTAL COURSE: YES_____ NO_____
19. CROSS-LISTED COURSE: 20. SPECIAL COURSE FEE? (Must be Board approved)
YES_____ WITH_________________ NO_____ YES_____ Amount $___________ NO_____
21. Required faculty qualifications to teach this course:
AB
Coll of Educ, Health & Hum Stu
Acctg, Economics & Finance
Submit
L - Lecture
Undergraduate
Standard Grade
22. GENERAL EDUCATION COURSE: YES_____ NO_____
If yes, please select one general education category:
If yes, please select up to three general education learning goals that reflect the priorities for student learning in the course. Please
rank these in priority order, i.e. 1,2,3 by inserting the numbers/rankings into the boxes:
____General Educaon Learning Goal 1: Ethical Reasoning
____General Educaon Learning Goal 2: Global Learning
____General Educaon Learning Goal 3: Informaon Literacy
____General Educaon Learning Goal 4: Wrien Communicaon
____General Educaon Learning Goal 5: Oral Communicaon
____General Educaon Learning Goal 6: Crical Thinking
____General Educaon Learning Goal 7: Quantave Literacy
If the proposed new or revised course is a General Educaon course, please provide a short raonale why this course should be
considered as a general educaon course.
Aach the following:
a) Class syllabus using the syllabus template.
b) Memo from Library Dean assessing available and needed library resources and services.
c) If applicable, memos from Department Chair(s) in aected department(s) stang support or that issues/conicts are resolved.
COURSE APPROVAL SIGNATURES
Department Chairperson Dean of Kent Library College Council
Educator Preparation Committee General Education Council Graduate Council
To obtain the next signature, save the pdf to your desktop and then email the form as an aachment to the next individual for signing. When
subming the form, the email must come from your Southeast email account.
Instructions for Proposing a New or Revised Course
Syllabus Template Link
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Instructions for Completing Course Approval/Change Document
1. Is the course an Addition, Revision or Termination?
2. If Revision: Please list changes being made to course such as title change; or title, CIP, and description change, etc.
3. Course Number: Two letters (choose discipline from drop down menu) and three numbers (i.e., EN 140). For course additions, ask for
a list of available course numbers from the Registrar’s Office.
4. Course Title: Full title of course.
5. 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.
6. For Additions and Revisions-First Semester/Year To Be Offered: Indicate first semester/year course is to be offered or when changes
to the revised course will be put into place.
7. For Terminations Only-Last Semester/Year To Be Offered: Indicate last semester/year course is to be offered. For course
terminations skip questions 10-22.
8. College Name: Choose the College Name from drop down menu. UI/IU courses belong to the Provost.
9. Department Name: Choose the Department Name from drop down menu. UI/IU courses belong to the Provost.
10. CIP Code: Enter six digit code number. Contact Institutional Research for information.
11. Fixed Credit Hours: Enter the total credit hours student will earn for course. Lecture, Lab, and/or Other Contact Hours should be
completed as appropriate. Lecture contact hours should equal the student credit hours earned for the lecture component of the
class. Lab contact hours will in most cases be entered as a 2 to 1 ratio (2 contact hours equals 1 student credit hour) for the lab
component of the class. Other Contact hours will be entered for field experience courses, internships, practicums, etc.
12. Variable Credit Hours: If course is variable credit hour, indicate total minimum hours and total maximum hours for which credit can
be received. Indicate minimum and maximum lecture, lab, and/or other contact hours as appropriate. See 10 for more detailed
instructions.
13. Can This Course be Taken for Additional Credit: Indicate if students will be allowed to enroll in this course more than once for
additional credit. 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.
14. Maximum enrollment allowed for course: Indicate the total number of students allowed to enroll in this course and the justification
for that maximum.
15. Class Schedule Type/Faculty Workload: See Class Schedule Types sheet on Document Share for appropriate type of course and
faculty workload.
16. Course Level: Choose appropriate course level from drop down menu. 500 level courses are mixed undergraduate/graduate.
17. Grade Type: Indicate if course is standard grade (A, B, C, etc.) or Credit/No Credit
18. Developmental Course: Indicate if course is to be offered for degree credit or developmental credit.
19. Cross-listed Course: List course that is cross-listed across disciplines (e.g., PY120/CF120)
20. Special Course Fee: Indicate course fee amount as approved by Board of Regents
21. Required faculty qualifications: What are the degrees, areas of specialty, and/or other characteristics of a faculty member that would
qualify them to teach this course.
22. General Education Course: Choose NO, or the category in which the course falls and the general learning goals.
Updated 8/22/2019