CCC_Curriculum_Change_Form_Program_TermbyTermRev2.doc

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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
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