Course Number:

Course Title:

Check the general education core area for this course:*

__ English Communication

__ Fine Arts & Literature

__ Foreign Language/Cross-cultural Competence

__ Letters

__ Natural Sciences

__ Social Sciences

__ Mathematical & Quantitative Reasoning

*Note: courses can qualify in more than one area but a separate form is required for each request. Students may use a course for general education credit in one area.

Department(s) in which course will be taught:

Faculty member(s) responsible for course:

Office:

Office phone:

Will non-tenure track faculty teach this course?

__ Yes

__ No

If yes, approximately what percentage of sections will be taught by non tenure-track faculty?

The integrated skills** that this course will focus on are:

__ Examine human differences

__ Read complex texts

__ Speak effectively

__ Use of artistic activity

__ Use of qualitative data

__ Use of quantitative data

__ Use of information technology

__ Write effectively

*Note: At least three integrated skills are required.

Course description (as would be found in catalog):

Faculty member's signature____________________________________________

Chairperson's signature_______________________________________________

Dean's signature_____________________________________________________

The purpose of this application is to assure that the proposed course meets explicit goals established for the general education program. These are:

• the ability to think critically in order to solve problems and question the nature and sources of authority
• the ability to use the methods and materials characteristic of each knowledge area with an understanding of the interrelationship among and the interconnectedness of the core areas
• a commitment to intellectual curiosity and lifelong learning
• an openness to new ideas with the social skills necessary for both teamwork and leadership
• the ability to think independently and be self-directed; to make informed choices and take initiative

PART I

This part consists of six questions designed to highlight fundamental aspects of the general education program. Only answer question 5 if it is relevant to your course.

1. If not stated in your syllabus, please indicate the primary learning objective(s) of your course.

2. How does the proposed course meet the goals established for the general education program?

3. How is the course suitable for the general education area you have requested it be classified:? Please refer to the criteria for the relevant division as described in Appendix A as well as to your course materials appended to this form

4. Explain how this course provide opportunities for practice in each of the integrated skills you have listed on the coversheet.

5. Will your course sometimes be taught to groups of students larger than 60? If so, please explain what you will do to insure that each of the integrative skills will be achieved. Please explain how each integrative skill will be achieved.

6. If other instructors (including per course faculty or teaching assistants) teach the course, what will be done to ensure that the proposed content and skills will be maintained across sections and instructors?(To be completed by department chair.)

PART II

Please provide documentation of the means by which your course attempts to reach the goals of the general education program courses described above. Please attach a syllabus(mandatory) and all relevant course materials (e.g., exams, homework and laboratory assignments, classroom exercises) that will demonstrate how your course does this. In addition, please feel free to include any explanation(s) necessary showing how the course materials are linked to both the goals of general education program and specifically to the integrated skills.