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NEW COURSE PROPOSAL FORM (Peru State College)

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NEW COURSE PROPOSAL FORM
For Administrative Use Only
Proposal Number:
Name of Faculty Sponsor
Name of Faculty Senate Sponsor
Date:
Academic Group (School):
COURSE INFORMATION
Subject
Area
Catalog
(course)
No.
Title of Course:
Min
Cr Hrs.
Max
Cr Hrs.
Course Description: (type exactly how it is to appear in the catalog)
Course Learning Outcomes
Repeat for Credit
Allow Multiple Enroll in Term
Total Units Allowed:
Total Completions Allowed:
COURSE CONSENT: (check all that apply
Add Course
Drop Course
No Consent Required
Department Consent Required
Instructor Consent Required
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NEW COURSE PROPOSAL FORM
COURSE TYPICALLY OFFERED: (check all that apply)
Face-
to-Face
Online Hybrid
Face-
to-Face
Online Hybrid
Face-
to-
Face
Online Hybrid
Fall
(every)
Spring (every)
Summer
(every)
Fall (even) Spring (even)
Summer
(even)
Fall (odd) Spring (odd)
Summer
(odd)
COURSE REQUIREMENTS
Prerequisite Course(s) (i.e. ENG 101, HP 101)
Corequisite Course(s) (i.e. ENG 101, HP 101)
Course Restriction(s) (i.e. For Seniors Only,
Admitted to Teacher Education
Course is Cross Listed
Yes No
If yes, Cross listed Course
Subject/Number:
✔
✔
NEW COURSE PROPOSAL FORM
ACADEMIC RATONALE FOR PROPOSAL (Provide a detailed description including course objectives and justification
of credit hours.
Cite assessment data to support the proposal. May provide or cite courses from other programs or institutions.):
Other rationale
How does this new course affect existing programs or courses, staffing, and budget? (e.g. impact on rotation
schedule, need for overloads, and /or acquisition of new equipment, etc…)
Describe any necessary modification to the current assessment program. (e.g. capstone rubric changes, live-
text impact, etc…)
What are the limitations (if any) to offering this new modified course online or at other sites other than Peru
campus?
Is this course proposed as a general studies option? If yes, please respond to the applicable items on the next
page.
Yes No
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NEW COURSE PROPOSAL FORM (Peru State College)

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Completed 25 August 2020

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