MISSISSIPPI DELTA COMMUNITY COLLEGE
All Campuses
COLLEGE CURRICULUM COMMITTEE
Course Request Form
CHECK THE DESIRED ACTION (S)
________ Addition of New Course ________ Change in Course Title
________ Deletion of Existing Course ________ Change in Course Number or
Double Number
________ Change in Course Description ________ Change in Lecture, Lab
COURSE INFORMATION
Course Prefix __________ Course # ___________ Prerequisites ________________________
Course Title ________________________________________________________________________
Lecture Hours __________ Lab Hours __________ Semester Credit Hours __________
Course Description __________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Course Equivalent at the following Mississippi four- year colleges/universities ___________________
__________________________________________________________________________________
Change Would Be Effective _____________________________ Semester ________________ Year
ROUTING PROCEDURES
Department Chairperson _____________________________________ Date _________________
Division Dean ________________________________________ Date _________________
Vice President _________________________________________ Date _________________
ACTIONS
Committee Approved ______ Disapproved ______ Initial ________ Date _________
Vice President Approved ______ Disapproved ______ Initial ________ Date _________
President Approved ______ Disapproved ______ Initial ________ Date _________
13