Recommendation to Modify a Course
For a detailed description of fields and process for the electronic creation of a new Course Modification Form in
UAccess Course and Fee Management Application go to: http://registrar.arizona.edu/course-and-feemanagement/user-manual
Submitted by: (name, telephone, email address)

Initiating Department or Committee:

First Effective Term:
(If final approval of the form is not within the deadline dates (available for viewing at:
http://registrar.arizona.edu/courseapproval/formlink/deadlines
the term will be changed to the following term.

Subject Area:
Catalog Nbr:
You cannot add a co-convening 400 or 500-level course using a modification form. An Add New or Temporary
Course Form is required.
Significant changes to course, change in units or content, require the creation of a new course. Use the Add New or
Temporary Course form. The same number may be retained.

Change typically offered term(s) to: select one only of following sequence:
_____ Fall _____ Fall/Spring _____ Fall/Summer 1/Summer2
_____ Fall/Spring/Summer 1/Summer 2 _____ Spring
_____ Spring /Summer 1/Summer 2 _____ Summer 1/Summer 2
_____ Summer 1 _____ Summer 2

Change Long Course Title to: (100 character limit including spaces)

Change Long Description to: (400-level description if co-convened)

Change Long Description to: (500-level description if co-convened - Text should always begin with:
‘Graduate-level requirements include’.)

Changes to course requisites: Give specific details.

Changes to the enforced Enrollment Requirement Group associated with the course, if any:

Changes to Course Attributes:
o Second Language:
o Course Equivalency Values:
o General Education Status:
o Success Course Status:
o Change Honors Course:
o Change Available for Special Exam:
o Change Writing Emphasis Course – YES or NO.

Change Repeat for Credit
_____ Maximum Units Repeatable
_____ Maximum Times Repeatable

Change Allow Multiple Enrollment in a Term: YES or NO

Change Course Components
First Component: ______________________________
Graded: YES or NO
Primary: YES or NO
Optional: YES or NO
Workload: __________________
Final Exam: YES or NO
Second Component: ______________________________
Graded: YES or NO
Primary: YES or NO
Optional: YES or NO
Workload: __________________
Final Exam: YES or NO
Third Component: ______________________________
Graded: YES or NO
Primary: YES or NO
Optional: YES or NO
Workload: __________________
Final Exam: YES or NO
Fourth Component: ______________________________
Graded: YES or NO
Primary: YES or NO
Optional: YES or NO
Workload: __________________
Final Exam: YES or NO

Describe overall changes to current course catalog information:

Describe why the changes are necessary or desirable:

Attached course syllabus as a .doc or .pdf document to support changes requested.

What other courses, departments or programs may be affected by these changes? Consider such
things as prerequisites/co-requisites, crosslistings, degree requirements related to these changes in other
departments.

If this is currently listed as a General Education course, please explain how the course satisfies the General
Education criteria below:
o Writing (gened.arizona.edu/content/writing-component):


Total number of pages the student must write: _________
Will at least one writing assignment involve revision after the instructor or peers have
provided feedback on a first draft? YES or NO
o
Does the course focus on non-western area studies and/or have a diversity emphasis? YES or NO
 Diversity Emphasis or Non-Western Area Studeies content, if applicable
(gened.arizona.edu/content/guidelines-diversity-emphasis-formerly-gender-raceclass-ethnicity-and-non-western-cultures):
o
Honors (gened.arizona.edu/content/guidelines-honor-students):
o
Assessment (gened.arizona.edu/content/expected-outcomes):
o
Critical Thinking Skills (gened.arizona.edu/content/expected-outcomes#Learning):
o
Interactive Modes of Instruction (gened.arizona.edu/content/course-evaluation-rubric#Co):
o
Information Literacy (gened.arizona.edu/content/information-literacy):
o
Explain how required readings and materials will be available to students:
o
Course format- indicate the overall percentage of time spent in the following activities (total
should add to 100%):
 Lecture ____%
 Discussion Section ____%
 Lab ____%
 Practicum/Service Learning ____%
 Other ____%
Will 40% of grade points be completed by the 8th week of classes? YES or NO
o