Fillable MBT July2018 (Wichita State University)

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MBT July2018 (Wichita State University)

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WSU MARKET-BASED TUITION REQUEST (MBT)**
Complete a separate form for each course (CRN)
Email completed forms to provost@wichita.edu
Date Requester:
Course Information
2. Course Title1. Course Number
3. Credit hours 4. Start Date 5. End Date
6. CRN (If this course does not have a CRN, please complete fields 7-14 below. Otherwise, skip to #15.)
7. Campus 8. Instructional Method 9. Quota
10. Part of Term (http://webs.wichita.edu/?u=helpforfacultystaff&p=/trainingresources/schedulebuilding)
11. Day(s)
Mon Tue
Wed
Thu
Fri Sat
Sun
13. Instructor
14. Instructor WSU ID
Proposed Tuition Distribution
15. Proposed Fee $
per credit hour per student
Department
Fund
Org
Amount
Unit
(per credit hour or
per student)
Purpose (What is the purpose of the proposed MBT course?)
Strateg
ic Benefit (How does this request align with WSU Strategic Goals?)
Additional
Information:
Department
Chair/Director
Dean
Provost
Date:
Date:
Date:
12. Time(s)
(Please make sure that all units correspond. Financial Operations will complete the
disbursements at appropriate times during the semester.)
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MBT July2018 (Wichita State University)

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Completed 25 July 2020

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