UMD Course Proposal or Course Change Form
Updated June 25, 2014
Directions:
 Use this form to propose a new course, make two or more changes to an existing course, or add a title
to an existing special topics course.
 This form may be submitted electronically with each approver indicating consent via a short email
message with the form attached.
 Double click inside the box
and choose the default value as “checked”
 Deadlines:
o December 1 for the following Summer Session and Fall Semester
o October 1 for the following Spring Semester
 Additional information and instructions are available at:
http://www.d.umn.edu/vcaa/semester_curric/curriculum/course_process.htm
Name (print)
Signature
Date
Department
Head/Representative
College Curriculum
Committee
DGS (for graduate courses in
department with a DGS)
Dean (or college designee;
signature confirms items 22 & 23
have been reviewed and are
accurate)
UMD Academic Affairs
Gerald Pepper
Effective Term
Subject
Catalog Number
(only one course number per course
proposal form)
Course Short Title
(30 character limit, including space;
displays on transcript)
Course Long Title
(100 character limit, 50 for topics
titles; displays on class schedule )
New course
Special topics course
Course change




Requesting
Complete Fields 1-25
Complete Fields 1-3, 5-6 and 12-25
If you are making a course change, fill in only the fields that reflect proposed change.
If the change encompasses the entire element, just list the change; for example, if you are changing the credits from 3 to 4,
only list 4 credits.
If you are adding or deleting items, please include all the information; for example, if you are adding a term the course will
be offered, please list the current term along with the addition(s).
For changes to fields 16-22, only the changes need to be listed.
Please summarize the nature of the change(s).
Liberal Education requested
No
Yes (If yes, please visit http://www.d.umn.edu/vcaa/libed/ for information and
Graduate credit requested
No
Yes (Attach addendum for 8xxx level courses only.)
forms.)
1. Faculty Contact
2. Minimum Credits
3. Maximum Credits
4. Can a student register for this
course more than once?
(Excluding registration for improving a
prior grade.)
No
Yes
If yes:
Maximum times student can register:
Maximum number of credits:
During the same term
No
Yes
5. Catalog Description
(1100 character limit, including spaces.)
6. Grading Basis
7. Terms most frequently offered
(Check all that apply.)
8. How often will the course be
taught?
9. How this course will be
delivered?
A/F or Audit
Med School P/N
S/N or Audit
Med School O/E/S
Student Option (A/F, S/N or Audit)
Fall
Spring
Summer
Every Year
Every Other Year
Offered Periodically
Completely Online (no face-to-face meetings)
Primarily Online (1-3 face-to-face meetings)
2
(Check all that apply.)
10. How will the course be
scheduled?
http://www.d.umn.edu/vcaa/semester
_curric/curriculum/crse_comp.html
Partly Online (4 of more face-to-face meetings)
Face-to-Face (no online)
Choose one option
a.
Discussion only
b.
Fieldwork only
c.
Independent Study only
d.
Lab only
e.
Lecture only
f.
Lab & Discussion
g.
Lecture & Discussion
h.
Lecture & Lab
i.
Lecture, Lab & Discussion
IF f, g, h, or i, does registration in one automatically register the
student in the other?
No
Yes
11. Is there a final exam?
No
http://www.d.umn.edu/vcaa/FinalExams.
Yes
html
12. Prerequisites
Please List:
(Prerequisites will be enforced at
registration; a specific grade in a
prerequisite can be listed, but cannot be
enforced at registration.)
13. Consent required
(If you select department or instructor
consent, a student must obtain a
permission number regardless of the
information entered in #12. It will be
the responsibility of the person giving
the permission number to assure all
prerequisites listed in #12 have been
met.)
14. Is the content equivalent to the
content of any other course?
15. This course may require students
to be absent from other courses
for at least one class session.
No Consent Required
Department
Instructor
No
Yes
If yes, enter course(s)
No
Yes
(If yes is chosen, addendum must be
attached identifying what instructions
are given to students for this provision.)
16. What is the rationale for proposing this course?
17. Conceptual outline and topics
3
18. Describe student learning outcomes and associated assessment methods.
#
Outcomes: state in measurable terms
Assessment Methods:
(Students completing this course will be able to):
(Students will demonstrate outcome by):
A
B
C
D
19. Describe course instructional materials.
20. To make students more aware of their academic standing, please identify an example of an activity that
will be graded before the end of the 6th week of the term (NA for Graduate Programs.)
21. How will your program(s) be affected by the proposed new course or course change?
Programs must submit a separate request to change their program(s).
Will this change affect any other department? If so, describe communications with the affected
department(s). (See course mapping found at http://www.d.umn.edu/vcaa/semester_curric/curriculum/index.html.)
22. Describe financial and staffing implications
For question 23: In general, one student credit hour (SCH) or 50 minutes of classroom contact is equivalent to one contact hour
(CH) per week to be assigned to the instructor. However, the Instructional Workload Protocol (12.20.11) document describes
courses for which exceptions to this general statement have been approved. Additional information is found at:
http://www.d.umn.edu/vcaa/policies/fac_workload_protocol.htm For a new course that deviates from the 1 SCH = 1 CH general
rule, a request from the collegiate Dean to the Office of the EVCAA requesting an exception must accompany.
23. Instructor contact hours per week
*NOTE: final approval of course fees is processed once per year through Phase II budgeting and all fees must be approved by the
Board of Regents. If a course will meet in an ITSS lab more than two hours in a semester, the computer lab access fee must be
assessed.
24. Will a computer access fee be requested?
25. Will a course fee be requested?
No
Yes
If Yes, please describe
No
Yes
If Yes, please describe
4