Fillable Prairie State College - New Course Form

Fill Online, Printable, Fillable, Blank Prairie State College - New Course Form Form

Use Fill to complete blank online PRAIRIE STATE COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Prairie State College - New Course Form

On average this form takes 27 minutes to complete

The Prairie State College - New Course Form form is 4 pages long and contains:

  • 6 signatures
  • 41 check-boxes
  • 63 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Prairie State College

BROWSE PRAIRIE STATE COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Curriculum Committee
New Course Form
(duplicate on pink paper)
Curriculum Document Number
Agenda Item No. Month Year
(for committee use only)
Initiated by: __________________________________________________________
Signature of full-time faculty member
Date:
Information Proposed Course Details
Prefix/Number
Title
Full (catalog)
ICCB
(36 characters and spaces)
Prerequisite
Recommended
Required (will block registration)
If none, please
state none.
Lab/lecture hours: credit hours
Lab hours Lecture hours Credit hours
Repeatable/variable credit
You must explain reasons for
requesting variable and/or
repeatable credit. (Attach form 11A
for requests for 0.5 credit hour
courses.
Repeatable
Repeat how many times (up to 3x)
0.5 credits minimum
Variable credits
to
Explanation
Catalog description
(Use complete sentences)
Course type
Select a type that best represents
the primary instructional
methods to be used.
L-Lecture
D-Discussion/Lecture
S-Seminar
X-Laboratory/Discussion
I-Independent Study
E-Internship/Field Experience/Other
A-IntAct Inst/Distance Learning
C-Non-Internet Computerized
O-Other
N-Internet/www
T-TV (1 way)/Radio/News
Course fee required?
Yes No
If yes, list amount
and what fee will
cover.
click to sign
signature
click to edit
PCS.CIP code (generic number) Non-generic course
For courses with PCS code of 1.1, is
ICCB Form 13 attached?
Yes No
Will this course seek IAI approval?
Yes No
If yes, identify the IAI Gen. Ed. or Majors
panel(s) and relevant IAI code number(s)
If yes, identify the kind of proficiency credit
(e.g., testing, work experience, etc.)
Will proficiency credit be available
for this course?
Yes No
Department
Effective Date
Term first offered
(semester/year)
List maximum number of students (consult
current faculty contract) and reason why.
Class Size Limit
Anticipated enrollment
No. of Students per section Anticipated No. of sections
Explain
Program Impact: List all programs in
which this course is required. If
more room is needed, attach a
separate sheet.
Program Impact: List all programs in
which this course appears as an
elective. If more room is needed,
attach a separate sheet.
List names of Program Advisory
Committee and department
members with whom this course
has been discussed.
Name(s) and
positions:
Staffing Existing full-time faculty New full-time faculty Adjunct faculty
ICCB Curriculum Prefix #
Clinical/Internship sites required?
External licensing or Accreditation
required?
Students served by this course?
Signatures Required
Coordinator/Department Chair Date
DateDivision Dean
DateCurriculum Committee Chair
DateVice President of Academic Affairs
Provide details for any costs beyond
normal salary costs.
If yes, describe
space needed.
Specialized Classroom Needed
NoYes
Specialized Equipment Needed
NoYes
List items
needed and
estimated cost
Print Form
Submit by E-mail
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
Program Manual
November 2003 update
Form 13
(November 2003) Illinois Community College Board
ARTICULATION REQUEST
between
Date
Community College
and
Senior Institution
Community College Section
Course title:
Course prefix: Course number:
Lecture:Credit hours: Lab:
Choose one:
If proposed course, list effective: date of first class:
If revised course, list effective date of change:
Comments or questions:
Senior Institution Section
Please answer all of the following:
1. This course applies to requirements in a major area(s)
Yes
List major(s) and in lieu of what course:
No We do not offer a major in this area. Other
please explain:
2. This course will apply toward general education requirements.
Indicate area(s) and in lieu of what course:
Yes
No
please explain:
Indicate area(s) and in lieu of what course:
No
Yes
3. This course is considered elective credit.
please explain:
4. This course is appropriately classified as a lower-division offering.
Yes No
5. Comments or questions:
Signed ____________________________________________________ Date ____________________________________________
Official Transfer Coordinator, Senior Institution
Title ______________________________________________________ Return to________________________________________
click to sign
signature
click to edit
dd mmm yyyy
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Prairie State College - New Course Form

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 28 April 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document