Request Form For Changes In Class Size Name: Division: Credits: Contacts: 1. Date: Prefix & Number Requested class size change is for: On-Campus Class Distance Learning Class 2. Current Class Size: 3. Proposed Change Is For: All Sections Of Course 4. Both Other: Proposed Class Size: Sections Taught By Me Only Type of Instructional Delivery, Check all that apply: Lecture Laboratory Demonstration On-line Video Tape Other: 5. What Methods Of Evaluation Do You Use? (Check All That Apply) Objective Examinations Number per Semester: Objective Quizzes Number per Semester: Essay Exams Number per Semester: Papers and Reports Number per Semester: Skill Performance Number per Semester: Oral Presentations Number per Semester: E-mailed Materials Number per Semester: Other: Number per Semester: 6. The following must be printed and attached: Course Outline or Syllabus 7. What are your reasons for believing the class size needs to be changed to the number you are proposing? (You may attach additional pages if necessary.) 8. If the class size change is for an e-Learning class, please explain how teaching, course preparation, communicating with students, and assessment/evaluation of student work differ from your on-campus counterpart. (You may attach additional pages if necessary.) 9. Divisional Vote: Date of Vote: Yes No Document Submission: a. An electronic copy of this completed form and all necessary attachments are to be sent via email to Dolores Sharpe at Dolores.Sharpe@mcc.edu. b. It is strongly recommended that you save the completed document in the appropriate Division Office file, using the sample file name format provided here: h:/CourseName_Month_year.doc. Rev. 7/2014 Rev. 7/2014