REQUEST FOR COURSE APPROVAL
All requests for new courses and / or changes must be submitted to the Curriculum and Instruction Committee
for approval AFTER
receiving
approval from the appropriate Administrator and Vice-President of
Instruction/CAO. Attach a copy of the Master Course Syllabus.
Date of Submission: Proposed Course Initiation (Semester/Year):
Course Title: Course #:
Revised Course Title:
Prerequisite Courses:
Brief description of course (or change) and its purpose:
Submitted by: Signature:
(Printed Name) (Title)
Approvals below are required before submission to Curriculum and Instruction Committee.
Dean-Academics OR Dean-Technical Education Date
Director-Enrollment Management Date
System-Wide Transfer Yes / No KSRN #:
___________________
Vice President-Instruction/CAO Date
Chairperson-Curriculum & Instruction Committee Date
Director-Institutional Research/Research Analyst Date
Vice President-Inst Effectiveness & Accountability Date
Registrar
Date
Revised: 05/10/19
Check all that apply:
Course Information:
___New Course ___Cr Hr Change ___Title Change ___Inactive → Active
Classification: ___Academic ___ / Developmental
Program & CIP Code: _________________
FOR CURRICULUM AND INSTRUCTIONAL COMMITTEE USE ONLY
