Semester: 51=FALL 53=SPRING 55=SUMMER
Part of Term: 1=FULL term 2=1
ST
HALF of term 3=2
ND
HALF of term Year:
Division: 20=ALLH 30=SOC/BEHAV SCI 40= BUS STUDIES 50=HUM 55=NURS
60=STEM 100=CONT EDU
Course Prefix: Course Number: Credit Hours:
Course Name: _____________________________________________________________________
Course Fee: $_____________ Course Fee Type: Book Online Course
Section: 001-099= Lec 100-199= Lab 200-299= Lec/Lab 300-399=Technical/Vocational
400-499=Web 500
-599=Dual Enrollment 600-699=Hybrid 700-799=Clinical
800-899= Online ONLY Programs 900-999=CONNECT (Off-campus Instructional
Sites SUBR: 900-919, SUNO: 920-939, LSUS: 940-959, etc.)
This course requires instructor approval for registration.
If checked, the number of seats must equal zero (0).
Campus Code: 001=MAIN 099=OFF-CAMPUS
Bldg Code:
000A=ADM 000B=LEC HALL 000C=FA 000D=HPRE 000F=NCR 000H=SCI
000
L=BUS /COMM DEV 000N=JACKSON 000O=DENTAL HYGIENE
000Q=ALLEN 000R=MSKIT 000X=METRO 000Y=AERO 000Z=WEB
Building Name (Connect and Dual Enrollment Programs ONLY): ____________________
Web-based course:
Please provide the term and year this course was last offered online: ____________
Please provide the CRN for the completed version of this course: ______________
Web-based course approval: Director of e-Learning: _____________________________
Room Number: Days Offered:
M T W R F S
Number of Seats:
Instructor’s First/Last Name: ________________________________ Instructor’s SUSLA ID #:
Start Time: : Use Military Time (1:00 pm=1300, 3:00 pm=1500, 6:00 pm=1800)
End Time : : : Use Military Time (1:00 pm=1300, 3:00 pm=1500, 6:00 pm=1800)
Requested By: ________________________________________________ Date:__________
Division Dean: _________________________________________________ Date:__________
VC for Academic Affairs and Workforce Development _______________________________ Date:__________
RO: Course Data Entry Form/Revised 02/10:07/14:03/15
:07/16:07/17:08/19-LR
Records and Registration
Course Data Entry Form
Assigned CRN:
Registrar’s Office:
Processed by: _________ Date Processed: _________
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