REQUEST TO CHANGE THE REQUIREMENTS FOR A COURSE
RGR-453-022 0
Any change, addition or removal of any restriction, or change in credit hours or availability for a course requires this form,
accompanied by any supporting documentation, be completed and approved as indicated below.
COLLEGE _________________________________________________________________________ DEPARTMENT ____________________________________________________________
REQUEST IS FOR CHANGE IN COURSE __________________ _________________ _________________________________________________________________________________
Prex Number CourseTitle
TO BE INCLUDED IN 20 ______ /20 _____ CATALOG
Course changes are eective beginning with the fall term in which they appear in the University Catalog.
IS REQUEST FOR A CHANGE IN THE NAME LISTED ABOVE? ¨ Yes ¨ No If yes, requested name ________________________________________________________________
IS REQUEST FOR A CHANGE IN CREDITS FOR COURSE LISTED ABOVE? ¨ Yes ¨ No If yes, current credits __________________ requested credits __________________
IS REQUEST TO CHANGE RESTRICTIONS FOR COURSE LISTED ABOVE? ¨ Yes ¨ No If yes, please check all that apply:
¨ Add ¨ Remove ¨ Prerequisite ¨ Corequisite ________________ _____________ ¨ and ¨ or
Prex Number
¨ Add ¨ Remove ¨ Prerequisite ¨ Corequisite ________________ _____________ ¨ and ¨ or
Prex Number
¨ Add ¨ Remove ¨ Other Restrictions* ¨ Yes ¨ No If yes, please use box below:
CATALOG & CURRICULUM MANAGER’S USE ONLY
SCACRSE __________________________ SCADETL____________________________ SCAPREQ ___________________________
SCABASE _________________________ SCARRES ____________________________ ACALOG ____________________________ Operator Initials ______________ Date _____________________________
APPROVALS: Once appropriate department approvals are completed, submit to the Oce of Graduate Programs,
or Undergraduate Curriculum Committee Chair for placement on agenda.
1) ___________________________________________________________________ 5) _________________________________________________________________
Originator Date Chair,GraduateCouncil Date
2) __________________________________________________________________________ OR
DepartmentHead/ProgramChair Date
3) __________________________________________________________________ _________________________________________________________________
DeanorAssociateDean Date Chair,UndergraduateCurriculumCommittee Date
4) __________________________________________________________________
*Director,APAC Date
*Otherrestrictionsmayincludechangingthegrademode(P/F,S/U,A-F,CEU),deactivatingacoursealreadyinthesystem,majorsorclasslevelsrestrictedfromregistration,or
otherrestrictions.
Please enter the complete prerequisite/restriction list as it should appear if this change is approved:
¨ Yes ¨ No Is this request for the course to be used to measure program-level student learning outcomes? If yes, review and signature is required*
¨ Yes ¨ No Is this request for the course to satisfy the scholarly inquiry requirement? If yes, attach “Q” materials for review.
¨ Yes ¨ No Will this change impact any existing programs? If yes, attach “Changing Graduation Requirements” form for each program that is impacted.
Florida Institute of Technology § Oce of the Registrar § 150 West University Boulevard, Melbourne, FL 32901-6975 § 321-674-8114 § Fax 321-674-7827
