ACTION BY ACADEMIC AFFAIRS
RECEIVED BY AA _____________________________________________________
SUB COM ACTION__________________________ DATE/REF :_________________________________
EPC ACTION_____________________________ DATE/REF :___________________________________
EFFECTIVE DATE :________________________________________________________
CALIFORNIA STATE UNIVERSITY, LOS ANGELES
MODIFICATION OF AN EXISTING CERTIFICATE, CREDENTIAL, MINOR, OR DEGREE PROGRAM
1. College and Academic Unit [Identify the College and Department, Division, School, or Program
responsible for submitting the proposal.]
2. Proposal Type [Indicate below the type of proposal being submitted.]
__ CERTIFICATE PROGRAM
__ CREDENTIAL PROGRAM
__ MINOR PROGRAM
__ DEGREE PROGRAM
3. Catalog Description of the Program
[Replicate the entire existing program and indicate any proposed changes, using strike-through for deletions
and underline for additions.]
4. Type of Change(s) Proposed [Check all that apply.]
Electives
Program Title
Other
Prerequisite Courses
Program Description
Required Courses
Exams/Projects
5. Description of Proposed Change(s)
6. Justification [Provide justification for change(s) described above. Use as much space as necessary.]
7. Prerequisites
a. Are there any prerequisites that will not count toward the required hours for the certificate, minor, or
major?
Yes
No
b. If yes, list the prerequisites, the number of credit hours, and an explanation.
Course
Prerequisite for
Explanation
8. Consultation [To be handled by College Curriculum Dean]
a. Attach as a single-page summary, the consultation response form with the responses from all Colleges,
Library, Information Technology Services (if necessary), with copies of any objections from affected
departments, divisions, or programs.
b. If any objections were not resolved, list below the name(s) of the college(s), school(s), department(s),
division(s), or program(s) raising an unresolved objection.
Electronic Signatures
College:
Academic Unit (Program, Department, Division, School):
Proposal: (example: BA Program Modification History, or GEOL 360 Geological Mapping –
new course)
Proposer of Course/Program:
Date:
Department Curriculum Committee Chair:
Date:
NOTICE: In transmitting this document to the college, the Chair certifies the validity of the
departmental “electronic” signatures. This document is to be forwarded by the Department/Division
Chair named below to the appropriate College Curriculum Dean, who then initiates an electronic
consultation process through SharePoint. Once the consultation is completed, the proposals must be
reviewed by the College Curriculum Committee. Approved proposals are forwarded to the Office of
Undergraduate Studies for processing at the University level.
Approvals
Program, Department, Division, School Chair:
Date:
College Curriculum Committee Chair:
Date:
College Curriculum Dean:
Date:
No Objections ______________
Objections
______________ (see attached)
Date:
NOTICE: In transmitting this document, the College Curriculum Dean certifies the validity of all
“electronic” signatures. By marking the “No Objections” line above, the College Curriculum Dean also
certifies that there were no objections made during the consultation process.