Curriculum Committee
Course Modification/Drop Form
(duplicate on yellow paper)
Curriculum Document Number
Agenda Item No. Month Year
(for committee use only)
Proposed Action:
End/change Effective Date:
Initiated by: __________________________________________________________
Signature of full-time faculty member
Date:
List the names and titles of
representatives of your
department, other affected
departments and programs,
and your advisory
committee members with
whom you have shared this
proposal.
Program Impact:
Course Information Current Course Information New Course Information
Course Prefix/Course Number
Course Title
Prerequisites:
(required blocks
registration)
recommended
required
Lecture/Lab hours per wk: Cr. hrs.
Course Description for catalog and
official course outline.
List
Programs
Impacted:
click to sign
signature
click to edit