FORM EXPIRES 6-1-2016
BLOOMSBURG UNIVERSITY
FORM EXPIRES 6-1-2016
DOCUMENT P - OMNIBUS COURSE, CO-CURRICULAR LEARNING EXPERIENCE, AND PROGRAM
DEVELOPMENT COVER SHEET
Instructions: See PRP 3230 Course and Program Development
DISCIPLINE PREFIX, COURSE NUMBER, COURSE TITLE:
SHORT TITLE OF PROPOSAL:
CIP:
(FOR PROVOST’S USE ONLY)
Box 1: TYPE OF ACTION
Box 2: LEVEL OF ACTION
Box 3: ITEM OF ACTION
(check appropriate boxes)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
ADD(NEW)
Non-Credit
Experimental Course 1
Change in Master Course Syllabus:
2a Title and/or Description
2b Credits
2c Course Number
2d Pre & Co-Requisite
2e Content Outline
2f Methods
2g Student Learning Objectives
2h Student Assessment and/or Evaluation
2i Course Assessment
2j Supporting Materials &/or Prototype Text
Departmental Recommended Class Size, if appropriate
Deactivate a Course
Pass/Fail Grading
Major/Minor/Concentration Requirements/Electives
New Course
Dual Listing (select 7a or 7b)
8a Offered in two departments with same number
8b Offered in one department as undergrad & grad
General Education Change
Minor
Non-Degree Certificate Program
Program Deletion
Program Moratorium
Certificate Program(Major or Minor Exists)
Degree Designation
Degree Program
Program Policy Change
Concept Approval
Distance Education (80% of content via Dist Ed)
Other
Box 4: DOCUMENTATION
P. This Cover Sheet
Q. Summary (Reverse of P)
R. Syllabus
1
2
3
4
DEACTIVATE
MODIFY
N/A
Undergraduate
Graduate
Other
APPROVAL
DOCUMENTS
SEQUENCE(see box 5)
REQUIRED
(see box 4)
A B2 E
PQR
A B1 B2 E
A B1 B2 E
A B1 B2 E
A B1 B2 DE
A B1 B2 E
A B1 B2 DE
A B1 B2 E
A B1 B2 E
A
A B1 B2 DE
A B1 B2 E
A B1 B2 DE
A B1 B2 DE
A B1 B2 DE
A B1 B2 DE
A B1 B2 DE
A B1 B2 C1 C2 DE
A B1 B2 C3 DE
A B1 B2 DE
A B1 B2 DE FGH
A B2 D-Information EFGH
A B2 D-Information EFH
A B1 B2 DEFG
A B1 B2 DEFGH
3A B1 B2 DEFGH
A B1 B2 DE
A B1 B2 DE
A B1 B2 DE
VARIES
T. Fiscal Impact
U. Needs Analysis
V. Program Course Checklists 4
PQ
PQ
PQ
PQR
PQR
PQR
PQR
PQR
R
PQR
PQ
PQR
PQV
PQR
PQR
PQR
PQR
PQR
PQV
PQTU
PQTU
PQ
PQ
PQTU
PQTUVW
PQ
PQ
PQR
VARIES
INFO COPIES
(see 2 below)
1.
d
2ab.
2c.
2d.
2e.
2f.
2g.
2h.
2i.
2j.
3.
4.
5.
6.
7.
8.
8a.
8b.
9.
10
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
a, b
a, b
a, b
a, b
a, b
a, b, e
a, b, f
a, b
a, b
a, b
a, b
a, b
b
b
b
a, b
a, b
a, b
a, b, c
a, b, c
a, b, c
b, c
a, b, c
a, b, c
a, b, c
a, b, c
varies
W. Program Completion Plan
X. Letter of Intent
Approval automatically lapses after two offerings unless permanently approved as a new course.
Codes: a) Director, Library Services
b) College Deans
c) Institutional Research
d) BUCC
e) Office of Planning & Assessment
f) Provost’s Office
Concept approval required prior to detailed program development. Submit Letter of Intent.
Include existing and proposed checklists.
1
OTHER
SHORT TITLE OF PROPOSAL:
Box 5: APPROVAL SEQUENCE
APPROVAL SIGNATURES
DATE
A Dept/Program:
Chair: _____________________________________________________
_____
__
B1 College Curriculum Committee
Chair: _____________________________________________________
_____
_______
B2 College Dean
Dean: _____________________________________________________
_____
______
C1 Graduate Council
Chair: _____________________________________________________
_____
______
C2 Graduate Dean
Dean: _____________________________________________________
_____
_______
C3 General Education Council
Chair: _____________________________________________________
_____
_
D
University Curriculum Committee
(BUCC)
Chair: _____________________________________________________
_____
_______
E
University Provost & VPAA
Provost & VPAA ____________________________________________
_____
_______
F
University President
President: __________________________________________________
_____
_______
G
Council of Trustees
Chair: _____________________________________________________
_____
_______
H
PASSHE
_____________________________________________________
_____
___
2
SHORT TITLE OF PROPOSAL:
College:
Contact Person:
DOCUMENT Q - SUMMARY PROPOSAL
Department:
Phone:
Effective Semester:
Q-1: Briefly describe what is requested:
For new courses or changes in existing courses (needed by Registrar):
New Title:
Course Abbreviation:
(Maximum of 20 letters including blank spaces)
Old Title:
Q-2: Set forth the full rationale for what is proposed.
Q-3 RESOURCES
No additional resources required. Explain why.
Additional resources required. Indicate probable source of additional funds.
3
Course #:
Credits:
Course #:
Credits:
SHORT TITLE OF PROPOSAL:
Q-4 Impact including Center for Academic Computing and Library resources (Complete a or b)
a) Impact was reviewed but none detected:
b)
____________________________________________
Department Chair Signature
________
Date
Impact was reviewed. All impacted units were contacted and understandings worked out. No unit objections to
the proposal as currently submitted. Supporting documents are attached. The units contacted were:
____________________________________________
Department Chair Signature
c)
__________
Date
Impact was reviewed. All objections were worked out except those documented in attachments. Units
contacted were:
___________________________________
Department Chair Signature
IB/jmw/OmnibusForm 7/13/15
4
_________
Date