Contra Costa College
Request for COURSE/CATALOG NON-SUBSTANTIAL CHANGE FORM – revised 01/13
Please mark an "X" in the box of the item that has been revised.
INACTIVATION of course
Course Description
Hours per semester
REACTIVATION of course
Course Title
Pre/Co-requisite/Advisory
Department Name
Repeatability
Title V Credit Status
Course Number
Grade Option
AA/AS Degree Requirements/Major/Transfer
Reason for Revisions or Other Changes:
Hours By Arrangement need to be changed to Lab hours due to policy changes.
REACTIVATION: Attach all New Course Proposal documents to reactivate this course.
For all other course revisions please attach the following items:
1. New revised Outline
2. Old Outline
3. Revised syllabus
4. Pre/Co-requisite/Advisory Validation Form (if applicable)
CURRENT COURSE INFORMATION (Fill in the current department/course number/title and only areas that are being revised)
Department/Course Number/Title: Medic 227/ Clinical Experience II
Date: 7/28/14
Degree
credit
Non-degree
credit
Non-credit
Number of times:
Title V Credit Status:
Repeatability
9
Lab:
Arranged:
135
Activity (PE only)
Hours per semester: Lecture:
Units:
Letter
Student Choice
Pass/No Pass
Grade Option:
Open entry/open exit
Pre-requisite(s):
Co-requisite(s):
Advisory(ies):
Prerequisite or Co-requisite:
CHANGE TO: Check box and fill in those parts that are being revised.
Department:
Course Number:
Course Title:
COURSE Description: (Type new course description in expanding box below)
x
Title V Credit Status:
Degree credit
Non-degree credit
Non-credit
Repeatability:
Add
Delete
Number of times:
Hours per semester: Lecture: 9
Lab: 135
HBA:
Grade Option:
Letter Grade
Student Choice
Pass/No Pass
Open entry/open exit
Delete
Add
Prerequisite:
Delete:
Add:
Prerequisite:
Delete:
Add:
Co-requisite:
Delete:
Add:
Co-requisite:
Delete:
Add:
Advisory:
Delete:
Add:
Inactivate this course from catalog.
This inactivation affects a major or certificate (Submit a Change of Major form and/or notify the affected department)
This inactivation affects the Liberal Arts major (Check the major below, and notify the Dean of the Liberal Arts Division)
Communication in the English Language
Math and Science
Arts & Humanities
Social &Behavioral Science
Please check ALL other Areas that will be affected by the revision, inactivation, or transfer of this course:
CCC Degree Requirements: GE - Area
Elective only
Add
Remove
CSU transfer: GE-Area
American Institutions
Elective only
Add
Remove
Transfer Major
UC
transfer: UC state-wide system
UC Davis
UC Berkeley
UC Letters & Sciences - Area
(specify)
Transfer Major
Add
Remove
IGETC:
Add
Remove
(specify) Area
This revision becomes effective:
Fall 2015
Semester/Year
This revision should be published in: (Check one and note Fiscal Year/Year)
x
Summer/Fall Catalog
2015-2016
Spring Catalog Addendum
Fiscal Year
Year
APPROVAL SIGNATURES
(Please Print Name/Signature)
Faculty Originator
Department Chair:
DIC Chair:
Division Dean:
CIC Chair:
VP of Instruction or designee:
Distribution:
Aminta Mickles
Aminta Mickles
Andrew Kuo
Susan Lee
Gabriela Segade
Tammeil Gilkerson
Date:
Date:
Date:
Date:
Date:
Date:
Instruction Office (original), Articulation Office, Admissions and Records Office, Faculty Originator,
Department Chair, and Division Office