Proposal Form for Modifying Delivery of Existing Programs
Curriculum & Instruction Committee
Please check appropriate box:
Expedited review: Has implications for more than one department or
program, but does not modify more than one department or program’s
delivery mechanism (Checking this box means that Chair of C&I will
consult with Co-Chair of C&I to determine if the change is simply a point
of information in Committee Report to Faculty Assembly, or whether it
needs to go before C&I for approval.)
Full review: Modifies the programs of more than one department or
program, or of the College as a whole, or is seeking a fully online (<80%)
program (Checking this box indicates a need for C & I approval and the
approval of the Faculty Assembly.)
This form is used to initiate any change in the instructional delivery mechanism (moving a traditional face-to-face
program to a hybrid or online format) within an existing undergraduate major, minor, or concentration. Complete all
sections. Signature of the department Chair overseeing the major, minor, or concentration is mandatory. Comments
and signatures of Chairs from affected departments are required. After a hard copy with signatures is given to the Chair
of C & I, this form should be electronically sent to the C & I committee Chair.
Proposed change will occur in:
Program/Major _____ Minor _____
Concentration _____
Title: _________________________________________________________________
Proposed Actions (check appropriately and then explain below):
Move part of a program (30%-80%) to hybrid _________
Move a program (80%<) to online*
_________
*WSON programs must be 100% online
otherwise are classified as hybrid
Add a new requirement(s)
Remove an existing requirement(s)
Change in a requirement(s)
Change in title of program
Change in grading practice/policy
Removal of a required course(s)
_________
_________
_________
_________
_________
_________
Semester and Year for implementation of changes:_____________/_______________
Semester
Year
rev. 7/17/16
Please provide an explanation of the proposed delivery modification. Clearly articulate how this change in
delivery is best serving students, the industry, and the college.
To increase the clarity of your proposed changes, please create a table that outlines the current program
requirements in the left column and the proposed changes in the right column. Wherever appropriate,
include subheadings, change in course hours, patterns of choice among options, etc. Be sure to distinguish
which courses are offered in a traditional format, in a hybrid format, or strictly online.
Current Program Requirements
Proposed Program Requirements
Clearly articulate the progression of courses for the first cohort of students. Beginning with your desired start
date, map out the courses in each semester that will be offered to allow students to meet graduation
requirements. Be sure to distinguish which courses are offered in a traditional format, in a hybrid format, or
strictly online.
Please describe your instructional development plan to prepare faculty/staff for this delivery mechanism.
rev. 7/17/16
Please describe how you plan to adhere to accepted best practices in instructional design that include the
below elements. Please attach course syllabi or other materials.
a. Variety of interactive, practical, applied and innovative strategies to meet the diverse learning styles of
students; Activities are authentic, reflective, and responsive; Multidimensional learning environments
(i.e., individual, small group, virtual community, application to workplace)
b. Student engagement with content, faculty and peers
c. Multimedia (e.g., rich media, pod/vodcasts, games, simulations, videos, interactive animations)
d. Collaborative communication, group work, and shared learning (e.g., Webquests, simulations, Web 2.0
tools, e‐Portfolios, projects, papers, presentations, social networking, etc.)
e. Online tests and surveys with feedback
f. Design driven by outcomes (e.g., developing a learning community, active learning, formative feedback,
variety of assignments, mobile options)
Identify how this affects your program’s assessment plan for student learning outcomes.
Effects on, or modifications to, other departments (if applicable):
Resource Implications (immediate and long term [outside of five years]):
 Faculty:

Facilities:

I.T.:

Other:
Please meet with the Registrar to discuss implications for the College Bulletin, transfer credit policy, and other
related matters (if applicable). Have the Registrar sign on the appropriate line on the last page of this form.
rev. 7/17/16
Sponsor’s Name and Signature:
_________________________ ________________________________ _________
Name
Signature
Date
Chair of Sponsor’s Department _________
Department
____________________________________________________
Name of Chair or Director
I have read the proposal
_________
Initials
_________
Date
Disposition towards proposal
______ Approved
______ Approved with Reservations (please comment below)
Signature of Chair of Sponsor’s Department ___________________________________ _____
Signature
Date
Affected Department Chair/Program Director ________
Department
____________________________________
Name of Chair or Director
I have read the proposal
_________
Initials
_________
Date
Disposition towards proposal
______ Approved
______ Approved with Reservations (please comment below)
Signature of Affected Department Chair/Program Director _____________________________ _____
Signature
Date
Affected Department Chair/Program Director ________
Department
_____________________________________
Name of Chair or Director
I have read the proposal
_________
Initials
_________
Date
Disposition towards proposal
______ Approved
______ Approved with Reservations (please comment below)
Signature of Affected Department Chair/Program Director _____________________________ _____
Signature
Date
If more than two departments or programs are affected, consult with C&I Chair
rev. 7/17/16
Registrar
I have read the proposal
_________
_________
Initials Date
Disposition towards proposal
Signature of Registrar
______ Approved
______ Approved with Reservations (please comment below)
_______________________________________ _____
Signature
Date
Dean
I have read the proposal
_________
Initials
_________
Date
Disposition towards proposal
______ Approved
______ Approved with Reservations (please comment below)
Signature of Dean __________________________________________ _____
Signature
Date
Chair of C&I ______________________________________________
_____ Noted in meeting minutes
_____Separate motion needed.
____________
Date
If approved by the Curriculum and Instruction Committee, the committee chair will submit the proposal to the Faculty
Assembly for a vote. If approved, the sponsor is to work with the registrar’s office and the provost’s office to prepare the
proposal for submission to the state for a HEGIS code (if required).
If approved by the Curriculum and Instruction Committee, the sponsor will work with the Hybrid Advisory Board to prepare
individual courses for approval (as appropriate for individual courses)
rev. 7/17/16