You must download this form to your computer and save it in text or Word before you fill it out. Send the completed electronic version to your college dean or college curriculum committee via your department chair.

Please note that boxes will disappear in the text form.

1. ACTION (Please check only one box) = ADD NEW COURSE = CHANGE OF COURSE

= COURSE DELETION

2. COURSE CODE AND NUMBER

3. COURSE TITLE

(50 characters maximum)

ABBREVIATED TITLE

(21 characters for transcript)

If a change, indicate old course number or title in parentheses.

4. DESCRIPTION FOR CATALOG (30 words or less, include credits, Lec./Lab hours, S/U credit, etc. as it would appear in the catalog):

5. Prerequisite

6. NUMBER OF CREDITS

7. TYPE OF CREDITS (Please check only one box):

1 = Regular credits 2 = Zero credits 3 = CEU'S

8. GRADING METHOD (Please check only one box)

1 = A-F grades apply 2 = Only S/U grades 3 = No grades are valid (CEU) 4 = Any grade is valid *

*Please note circumstances which would justify this method.

9. a. COURSE TERM b. TERM OF FIRST OFFERING c. TERM OF FINAL OFFERING

10. TYPE OF COURSE (Please check only one box)

1 = Regular 2 = 0pen-ended ** 3 = Temporary

**Subtitle and description for each offering must be submitted to the Registrar via the Academic Dean

11. METHOD OF INSTRUCTION (Please check only one box)

A = Lecture B = Laboratory D = Seminar E = Independent Study H = Lec. and Lab. P = Workshop Other

12. RESTRICTION (Campus & Session) (Please check only one box)

1 = No Restriction 2 = Summer only 3 = C.C.E. only 4 = C.C.E. & Summer Other

13. OTHER COURSE CODES USED FOR CROSS LISTED OFFERINGS:

14. COLLEGE(S)

15. DEPARTMENT(S)

16. INSTRUCTOR(S)

17. EXPECTED NUMBER OF REGISTRANTS AT EACH LEVEL

FR SO JR SR GRAD OTHER TOTAL

18. ADDITIONAL INFORMATION REQUIRED (MUST BE COMPLETED)

a. ON A SEPARATE SHEET OF PAPER, PLEASE PROVIDE THE FOLLOWING INFORMATION:

1. A rationale for proposal or changes:

2. The immediate and future effects on staff and/or facilities (including Library Impact Statement};

3. The extent to which the proposed course overlaps any existing courses within the University (provide statements from other departments);

4. The place of this course in the curriculum (e.g. elective, requirement, change in degree requirement);

5. Other curriculums affected by this change.

b. ATTACH A SYLLABUS OR OUTLINE FOR THE COURSE.

19.

AUTHORIZATION

DATE

Department Chairperson

College Committee

Dean

Curricular Affairs Committee Report #

Graduate Council Report#

Faculty Senate Bill#

Presdential Action:

You must download this form to your computer and save it in text or Word before you fill it out. Send the completed electronic version to your college dean or college curriculum committee via your department chair.

You can also obtain electronic copies in Word (Mac) and Word (Windows) by sending an e-mail request to FSO@etal.uri.edu