Course(s) Modification Form Template
(The eform is short but includes many conditional logic drop-down boxes. We have attempted to
include all conditional logic possibilities in this form.)
A. Add a course to be modified.
Course Prefix
4 Digit Course Number
Please note that modifications to groups of courses are limited to options, which must apply to
all courses uniformly (except for changes to prefixes/numbers). In particular, any change to
credit hours must be uniform for all courses in the group, and elimination applies to all courses in
the group.
B. Course Modifications (check/input all that apply)
a. Eliminate Course (s): When Eliminating Course please fill out ONLY
rationale/need and recommended effective term
i. Rationale/need for change (Attach or enter in text area. If attached,
please enter "see attachment" in the text area)
ii. Recommended effective term
1. ASAP:
2. Term/Year:
b. Proposed Course Prefix(es) and Number(s)
New Course Prefix
c. Credit Hours
Current Credit Hours
d. Course Titles
Current Course Title
e. Prerequisite
Numbers
New Credit Hours
New Course Title
f. Catalog Description
g. Maximum Class Size (what is new maximum class size?)
h. Grading Method: S/U or A/F
i. Method of Instruction: (circle one)
Lecture; Practicum; Seminar; Lab; Studio; Tutorial; Discussion;
Recitation; Clinical; Field Experience; Individual Studies; Self-Paced;
Other
C. Delivery Method (Check one)
a. Add Web-Centric
b. Add Web-Based
c. Add Face to Face
d. Remove Web-Centric
e. Remove Web-Based
f. Remove Face to Face
* If the course is becoming web-based and/or web-centric, attach the signed
Online Course Development Checklist from COBL.
D. Addition of course fee(request form must be processed separately)
E. The catalog description is being modified:
a. Old Catalog Description
b. New catalog description. Enter the modified description of the course exactly as it
should appear in the Course Catalog, including course number, title, credit hours,
description, prerequisites, and repeatability. *
F. Curricular Changes
a. Course Content
i. Please explain the change in course content:
b. Student Learning Outcomes
i. Please list the program’s expected learning outcomes and corresponding
plan for assessing the outcomes.
ii. Please indicate if an assessment method refers to more than one learning
outcome
Proposed learning Outcomes
Proposed Assessment Methods
c. Rationale/need for change (Attach or enter in text area. If attached, please enter
"see attachment" in the text area) *
G. Recommended effective term*
a. ASAP
b. Term/Year:
H. Other Information: Please explain any other supporting documents attached and/or
provide other information that may be helpful in the review process, as appropriate.