Sponsored Course Proposal Form This form is used to propose academic credit for a sponsored course. Submit your course proposal 6-8 weeks prior to advertising a course offers UM credit. Course Information Semester/Year: Autumn 20___ Spring 20___ Summer 20___ Course No./Title: Cross-list Dept./Course No./Title: No. of Credits: Grading: Contact Hours: Letter grade Undergraduate credit Credit/No Credit Graduate credit Student Option Course Dates/Days/Times: Delivery Method: Face-to-Face Location: Fully Online Enrollment Limit: Blended Target Audience: Pre- or post-course work due dates: Content/Objectives: (attach a detailed syllabus) How will student course work be evaluated? Sponsoring Organization Information Sponsoring Org: Contact Person: Mailing Address: Email: Telephone No.: Email credit registration materials to: Instructor Information Name: UM ID No. 790 - - Birth Date: Mailing Address: Email: UM Faculty: Telephone No.: Yes No (non-UM faculty should attach a resume) Instructor Signature: Academic Credit Approvals School of Extended & Lifelong Learning Date Graduate School (if applicable) Date Chair, Department Date Provost (if applicable) Date Dean, College/School Date Term Code/CRN Send form, syllabus & instructor resume to: Holly Kulish, School of Extended & Lifelong Learning, University of Montana, Missoula MT 59812 Questions? 406.243.4168 or holly.kulish@umontana.edu January 2014