CURRICULUM PROGRAM / TERM BY TERM FORM CENTRAL NEW MEXICO COMMUNITY COLLEGE COLLEGE CURRICULUM COMMITTEE (CCC) New Program Existing Program School: Name of Program: Proposal Originator: School’s Curriculum Chair: Proposed Curriculum Change I. Description of New Program or Program Change (Include any additions, deletions, or modifications; address the impact on other schools’ offerings) II. Justification for the Change. (Explain the reason for the change; address the impact on current students.) I11. For new programs, complete a Needs Assessment; for revised programs, complete an Assessment Plan Worksheet. IV. Impact of the Change Consider the effects and consequences that the change might have on various stakeholders. (a) Yes No (b) (c) (d) (e) (f) Yes Yes Yes Yes Yes No No No No No (g) Yes (h) Yes (i) Yes No No No Will this change affect existing articulation agreements? (Please perform a search for all programs using the course) Will the change affect existing accreditations? Will the change affect financial aid eligibility? Will the change increase the need for additional facilities and/or equipment? Will the change increase the need for additional faculty? Will the change affect pre- or co-requisite considerations? (Please perform a search for all programs using the course) Will the change affect graduation requirements? Will the change negatively affect continuing students? Will the change increase the need for additional course offerings (sections)? If you answer Yes to any item (a through i), please use the space below to describe the effects and the actions you have taken to address them. Attach any additional paperwork and label the effects you are addressing with the letter indicating the impact you are addressing. V. Notifications Indicate which of the following have been contacted regarding the proposed change. Individuals, programs and services that will be affected by the change should be informed, via email, especially if support is required. Attach documentation of any contacts. Signatures Information Technology Services Rodriguez, Gina Facilities Management Campos, Luis Libraries Wakashige, Ben Other Person Emailed (If other than listed) College Curriculum Committee Rev 071411eh Date of Email Other Other VI. Dean’s Endorsement I have reviewed the attached changes for internal consistency and appropriateness and fully support these changes for inclusion in the Course Catalog. Dean’s Signature Date The Dean or designee needs to send this form to the Director of Financial Aid lcarrillo@cnm.edu and the Interim Director of Enrollment Services epadilla@cnm.edu . The latter will forward signed forms to Deans Council (DC) and the College Curriculum Committee (CCC). Due Date for Forms by School: http://www.cnm.edu/depts/academicaffairs/AA_pdfs/Submission_dates_for_Curricular_Change_ Forms_for_2012-2014.pdf VII. Financial Aid Director or Associate Director of Financial Aid Date VIII. Director of Enrollment Services Approval Director of Enrollment Services Date Reviewed and approved by the College Curriculum Committee CCC Chair Date Reviewed and approved by Deans Council Vice President for Academic Affairs Date returned to school’s curriculum chair for final catalog copy: Date catalog copy submitted to MCO and CCC Chair: College Curriculum Committee Rev 071411eh Date Term by Term Form for New or Revised Degree/Certificate Complete a separate term by term form for each new or revised degree, certificate or concentration. PROGRAM: SCHOOL: DATE: Title of Degree/Certificate or Concentration: _______________________________ AAS AS Certificate of Achievement AA New Revision Concentration Certificate of Completion Program Proficiency Levels: Reading English Math Not Applicable Recommended Sequence of Courses (If Program begins in Fall Term only, indicate next to Term 1.) Term 1 Example – Fall Only Enter Course Number (tab)Enter course name (tab)Enter Credit hours COURSE NUMBER Course Name ................................................................................................ Credit Hrs. Term 2 Enter Course Number (tab)Enter course name (tab)Enter Credit hours COURSE NUMBER Course Name ................................................................................................ Credit Hrs. College Curriculum Committee Rev 071411eh Term 3 Enter Course Number (tab)Enter course name (tab)Enter Credit hours COURSE NUMBER Course Name ................................................................................................ Credit Hrs. Term 4 Enter Course Number (tab)Enter course name (tab)Enter Credit hours COURSE NUMBER Course Name ................................................................................................ Credit Hrs. Term 5 Enter Course Number (tab)Enter course name (tab)Enter Credit hours COURSE NUMBER Course Name ................................................................................................ Credit Hrs. Term 6 Enter Course Number (tab)Enter course name (tab)Enter Credit hours COURSE NUMBER Course Name ................................................................................................ Credit Hrs. ................................................................................................................ Total Credit Hrs. College Curriculum Committee Rev 071411eh