ORIGINAL
REVISED
Administrative Use Only
SUBMISSION DATE:
mm /
/ yyyy
TRACKING #
RE-SUBMISSION DATE:
mm /
/ yyyy
SALEM STATE UNIVERSITY
version 1516.1 - effective 6/2015-8/2016
REQUEST FOR NEW COURSE
DEPARTMENT:
EARLIEST SEMESTER/YEAR IN WHICH COURSE CAN BE OFFERED:
select semester select year
COURSE PREFIX AND NUMBER:
CREDITS:
cr. course use:
(FYS|QR|OC|PGR|CEA|WC|HP|CS|SR|W-I|W-II|W-III)
FULL TITLE:
ABBREVIATED TITLE:
(30 characters max)
COURSE DESCRIPTION EXACTLY AS IT WILL APPEAR IN CATALOG.
SAMPLE: This course introduces discipline X. It will provide foundational material and allow for future study in this discipline. Three
lecture hours per week. Excessive work outside of class will be required.
COURSE PRE-/CO-REQUISITES, RESTRICTIONS, LIMITATIONS: SAMPLE: Prerequisites: Level I Written Communication or
equivalent, plus ABC 101 and ABC 102 and either XYZ 201 or XYZ 202, or, permission of Department Chairperson. Not open to
students who have received credit for ABC 123. Required of ABC majors.
ESTIMATE OF
WHEN COURSE
WILL BE OFFERED:
EVERY
SEMESTER
ONE SEMESTER
EACH YEAR
ONE SEMESTER
EVERY OTHER YEAR
FALL
SPRING
SUMMER
FALL
SPRING
SUMMER
AS NEEDED
OTHER (specify:
NUMBER OF SCHEDULED MEETING HOURS PER WEEK:
LECTURE:
hrs./week
SCHEDULED LAB, STUDIO, FIELD WORK, ACTIVITY, ETC.:
hrs./week
Mode of Instruction (formerly "Course Type")
Mode of Instruction: SHCI based on contact hours. Check all that apply – for each mode that is checked, indicate the number
of scheduled hours per week.
Lecture Contact Hours: 0.0
Laboratory Contact Hours: 0.0
Studio Contact Hours: 0.0
Recitation Contact Hours: 0.0
Clinical Contact Hours: 0.0
Physical Education Activity Contact Hours: 0.0
Seminar Contact Hours: 0.0
Other Description:
Contact Hours: 0.0
Mode of Instruction: SHCI based on number of students enrolled. Check exactly one mode.
Teacher Education - Practicum / Internship Supervision
Undergraduate Thesis
Fieldwork supervision and Internships
Independent and Directed Study
Other Description:
Grade Mode:
Standard
Pass / Fail Only
Course "Repeat for additional credit" rule: (check all that
apply)
Course may not be taken again for additional
credit
Course may be taken up to
times with different topics,
itineraries, etc. – credit awarded for each successful completion
Course may be taken multiple times up to
offerings with different topics, itineraries, etc.
total credits for
USE OF COURSE (check all that apply):
MAJOR, REQUIRED (SPECIFY MAJOR(S):
)
CONCENTRATION, REQUIRED (SPECIFY CONCENTRATION(S):
)
MAJOR, ELECTIVE (SPECIFY MAJOR(S):
)
CONCENTRATION, ELECTIVE (SPECIFY CONCENTRATION(S):
)
MINOR, REQUIRED (SPECIFY MINOR(S):
)
OTHER (SPECIFY:
MINOR, ELECTIVE (SPECIFY MINOR(S):
)
FREE ELECTIVE
)
)
BASED ON THE USE(S) CHECKED ABOVE, PROVIDE JUSTIFICATION FOR THIS COURSE IN THE CURRICULUM:
NOTE: GENERAL EDUCATION CATEGORY CERTIFICATION REQUIRES THE SUBMISSION OF ADDITIONAL FORM(S) THAT
DOCUMENT HOW THE COURSE ADDRESSES ALL OF THE CRITERIA FOR EACH OF THE CERTIFICATION(S) BEING APPLIED FOR.
FYS (FIRST YEAR SEMINAR)
HP (THE HUMAN PAST)
QR (QUANTITATIVE REASONING)
CS (CONTEMPORARY SOCIETY)
OC (ORAL COMMUNICATION)
SR (SCIENTIFIC REASONING)
PGR (PERSONAL GROWTH & RESPONSIBILITY)
W-I (WRITTEN COMMUNICATION - LEVEL I)
CEA (CREATIVE EXPRESSION & APPRECIATION)
W-II (WRITTEN COMMUNICATION - LEVEL II)
WC (WORLD CULTURES)
W-III (WRITTEN COMMUNICATION - LEVEL III)
NOTES (NOT FOR INCLUSION IN CATALOG):
IF THIS COURSE WOULD AFFECT ANY CURRICULUM OTHER THAN THAT OF THE DEPARTMENT SUBMITTING IT, PLEASE ATTACH STATEMENTS
FROM ALL AFFECTED DEPARTMENTS INDICATING THAT CONSULTATION HAS TAKEN PLACE AND LIST ALL SUCH DEPARTMENTS BELOW.
THIS NEW COURSE DOES AFFECT OTHER DEPARTMENTS:
THIS NEW COURSE DOES NOT AFFECT ANY OTHER DEPARTMENT:
LIST OF AFFECTED
DEPARTMENTS:
SUBMITTED BY:
Department
(name of department chairperson)
(name of sponsor / contact person only if other than department chairperson )
COURSE INFORMATION DOCUMENT THAT COMPLIES WITH THE CURRICULUM COMMITTEE
COURSE INFORMATION DOCUMENT REQUIREMENTS IS ATTACHED (SEE
CHECKED AGAINST THE HISTORICAL
HTTP://WWW.SALEMSTATE.EDU/6774.PHP FOR FORMS; SEE
COURSE FILE TO PREVENT DUPLICATION
HTTPS://WWW.SALEMSTATE.EDU/26086.PHP FOR EXAMPLES; NOTE THAT A COURSE
INFORMATION DOCUMENT IS NOT THE SAME AS A COURSE SYLLABUS.)
COURSE NUMBER HAS BEEN
  ADMINISTRATIVE USE ONLY  
Mode of Instruction: SHCI based on contact hours. Check all that apply – for each mode that is checked, indicate the number of
scheduled hours per week.
Lecture (LEC, Contact Hrs: 0.0)
SHCI: 0.0
Laboratory (LAB, Contact Hrs: 0.0)
SHCI: 0.0
Studio (STD, Contact Hrs: 0.0)
SHCI: 0.0
Recitation (DIS, Contact Hrs: 0.0)
SHCI: 0.0
Clinical (CLN, Contact Hrs: 0.0)
SHCI: 0.0
Seminar (SEM, Contact Hrs: 0.0)
SHCI: 0.0
Physical Education Activity (ACT, Contact Hrs: 0.0)
SHCI: 0.0
Mode of Instruction: SHCI based on number of students enrolled. Check exactly one mode.
Teacher Education - Practicum / Internship Supervision (STU)
Undergraduate Thesis (HON)
Fieldwork supervision and Internships (FLD, INT, PRA)
Independent and Directed Study (DIR)