CURRICULUM DEVELOPMENT APPLICATION
Revised Credit Course: General Education
Important
: Consult with the Curriculum Coordinator to obtain Submission Deadline and Effective DateBldg. 9/104B, ext. 5080
Program/Department information
Date of Application:
Originator:
Ext.
Bldg./Office:
Program/Dept.:
Dept. # (4 digits):
Division # (1 digit):
Presenter:
Course Information
Current
Revisedif Content equivalent to old number
Course Title:
(If over 30 characters, must revise)
Course Title:
(Limit to 30 characters)
Course #
:
Course #
:
Instructional Hours:
Lecture:
Lab:
Instructional Hours:
Lecture:
Lab:
Total Credits:
Total Credits:
Class Fee: $ Class Fee: $
Other areas of revision
(check all that apply)
Prerequisite/Corequisite: Change/Add/Remove
Performance Based Learner Outcomes (PBLOs):
Content Elements identified (match content to outcomes)
Course description: Change/add/remove
Difference, Power, and Responsibility (DPR) designation Added
Assessment Method(s): Change/Add
Term(s) offered
to appear in catalog
Fall Winter Spring Summer Offered as needed
Cite evidence of need (limit to 40 words):
Program Chair Signature and Date:
All Gen Ed disciplines:
Curriculum development does not impact and/or duplicate other courses on campus (obtain correspondence).
There is alignment in the course outline between description, PBLOs, and course content.
Content Elements are identified and reflect in the PBLOs table of the Course Outline - match content to outcomes.
(Aids in curriculum application review for those not familiar with the discipline or CTE program area.)
The following information is provided on last page of course outline:
Assessment methods Teaching methods (if DPR designated)
Workload, staffing, and budget ramifications for this proposal have been reviewed and addressed with department administrator
.
Application attachments (in the following order):
Course Outline (reflects tracked changes)
Copies of correspondence with other departments that might be affected by course revision
Difference, Power, and Responsibility Criteria form (if DPR designated)
Dept. Administrator’s Name*:
Signature:
Date Signed:
* E-mail course outline (MS Word) to: curriculum@chemeketa.edu
Forward signed application with attachments (application packet) to the CRC Curriculum Coordinator in the Teaching and Learning
Department, Bldg. 9/Rm. 104G