Fillable REQUEST FOR A NEW OR REVISED COURSE (Delta State University)

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REQUEST FOR A NEW OR REVISED COURSE (Delta State University)

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Document Effective Date: 2-13-14
Revised by Academic Council 5-25-17
COURSE ACTION REQUEST
☐ NEW ☐ REVISED ☐ DELETED Dept/Div: ____________________________
LIST NAME OF COURSE AND If REVISED, identify specific change(s):
[Attach syllabus if the request is for a new course.]
CURRENT VERSION IN CATALOG:
PREFIX: _____ COURSE NUMBER: _____ HOURS CREDIT: ____
PREREQUISITES:
COREQUISITES:
COURSE TITLE:
(maximum 30 spaces)
COURSE DESCRIPTION (exactly how it is currently entered in the Bulletin)
attach additional pages as needed
PROPOSED VERSION FOR CATALOG:
PREFIX: COURSE NUMBER: HOURS CREDIT: _____
PREREQUISITES:
COREQUISITES:
COURSE TITLE:
(maximum 30 spaces)
COURSE DESCRIPTION [1) state exactly how it is proposed to be entered in the Bulletin; 2)
attach additional pages as
needed; attach specific pages of the Bulletin where course should be listed.]
JUSTIFICATION OF NEED:
(1) What evaluation led to this request?
(2) Why is this new course or change needed?
(3) If a new course, how does this course relate to other courses in the curriculum or help support the mission and
goals of the University or Department/Division?
Document Effective Date: 2-13-14
Revised by Academic Council 5-25-17
CURRICULUM IMPACT ☐ N/A
1. Is this new course required for an existing major or minor or is it an elective? If required, which major(s)?
2. Is this course intended to replace a current course planned for deletion? If not, will this course add hours to the
degree?
3. If the course has prerequisites, how does this impact the program’s Four Year Plan and the student’s progression
toward graduation?
4. Will other departmental courses be offered less frequently or be impacted by reduced enrollment?
5. What is the anticipated enrollment for the new course?
NEW RESOURCES REQUIRED ☐ N/A
FACULTY
1. The addition of this course will require:
☐ additional adjunct or overload ☐ new full-time faculty ☐ no additional faculty
2. If no additional faculty are needed, are there credentialed/qualified faculty currently employed to teach this
course? ☐ Yes ☐ No
3. What is the impact on the teaching load and teaching schedule of faculty in the department? There will be no
impact on the teaching and teaching schedule of faculty in the department.
OTHER RESOURCES ☐ N/A
1. Are current equipment and supplies adequate to teach this course? ☐ Yes ☐ No ☐ N/A
If no, what is required and what is the cost?
2. Are current consumables, materials, software adequate to teach this course? ☐ Yes ☐ No ☐ N/A
If no, what is required and what is the cost?
3. Are current Library resources adequate to teach this course and meet accreditation requirements?
If no, what is required and what is the cost? ☐ Yes ☐ No ☐ N/A
4. Are current facilities adequate to teach this course? ☐ Yes ☐ No ☐ N/A
If no, what is required and what is the cost?
OTHER:
Semester course is to be effective: ___________________________ Lab Fee: ☐ Yes ☐ No
Document Effective Date: 2-13-14
Revised by Academic Council 5-25-17
GRADE MODE:
N - Normal Grading Mode METHOD OF INSTRUCTION: C - Lecture/Lab
METHOD OF DELIVERY:
F - Face to Face
If this is an online course, this form along with the syllabus must be sent to the Distance Education Committee for
their review and approval. The DEC must recommend the course for approval based on their rubric developed under
the Distance Education Policy.
DEPARTMENTS AFFECTED BY PROPOSAL:
(Indicate which departments affected by this proposal you contacted and discussed this proposal.)
Chair Department Date of Discussion
_______________________________ ______________________________ _______________
_______________________________ ______________________________ _______________
APPROVAL SIGNATURES:
_____________________________________________ _______________________________________________
Curriculum Committee Chair Date Department/Division Chair Date
_____________________________________________ _______________________________________________
Dean, College/School Date Teacher Education Council (if applicable) Date
Academic Council Action Date: APPROVED: ____________ DENIED: ____________ TABLED_____________
_____________________________________________
Provost Date
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REQUEST FOR A NEW OR REVISED COURSE (Delta State University)

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Completed 22 July 2020

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