Curriculum Action Form
Effective date:
Fall
Winter
Spring
Summer
Year: ____________
Course Information: _____________________________________________________
(Department, number, title, credit)
Department/Program: _____________________________________________________
Other Programs/Departments Affected: ______________________________________
Type of Curriculum Action (please fill out corresponding section of form)
New course proposal
(go to A)
Temporary hold (go to D)
A.
Program change
(go to B)
Permanent change in course
(go to C)
New Course Proposal
Type of Course:
Undergraduate
Graduate
Graduate/undergraduate
General Education (category)*
*Attach an explanation of why the course should be included in the general Education offerings,
how it relates to existing general studies courses and how it would impact the course balance in
the chosen area of study. Also include a syllabus or outline if appropriate.
Related Information: All explanatory material requested in this section should be appended to
this proposal.
Pre-or co-requisites: ____________________________________________________
Identify need:
Certification/Accreditation
Changes in major or minor requirements
Changes in discipline/field of study
Other ______________________
Student Audience: Course is designed for: __________________________________________
Course is required for: __________________________________________
Are other courses being changed or eliminated?
No
Yes: Please Explain*
Is the content or title similar to other courses in
the current catalog
No
Yes: Please Explain*
Are any unbudgeted USIU resoures required?
No
Yes: Please Explain*
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Have you discussed this proposal with other?
Departments or units involved?
No
Yes: Please Detail
Information**
*Please provide the following information: the objectives of your course and either a course
outline or syllabus(2-3 pages); a 30 to 40 word course description to be used as catalog copy;
and an explanation of how the learning experience would differ for graduate students in
4000/5000 level course.
**Please describe how this course will affect enrollment in other courses and programs and
summarize the nature of held discussions and/or resolution solutions to potential conflicts
discussed with the departments/persons affected by these decisions.
B.
Program Change
Program Change:
Major
Minor
Concentration
Change in:
Course Requirements
Prerequisites
Program Withdrawal
Credit Requirements
Title
Attach is a listing of new and old (if applicable) program requirements including course
lists and an explanation of the rationale for the proposed changes, additions or deletions.
C.
Permanent Change in Course
Change in:
Course Number
Prerequisite
Title
Credits
Course Withdrawal
Old: __________________________________________________________________
New: __________________________________________________________________
__________________________________________________________________
[department, number, title (credit)]
Please attach a brief explanation why changes in title or numbering are being made and justify
any changes in assigned number of credits. For course withdrawals, please state the reason for
deletion.
D.
Temporary Hold
Place on temporary hold* (up to 3 years)
Remove from temporary hold
Effective Date: __________________________________________________________
*Please include a brief explanation of why the hold is requested.
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LEVELS OF REVIEW
Recommendations
School Curriculum Committee
Yes
No
____________________
Chairperson’s Signature
____________
Date
Dean
Yes
No
____________________
Dean’s Signature
____________
Date
Faculty Council Academic
Committee
Yes
No
____________________
Chairperson’s Signature
____________
Date
DVC AA
Yes
No
____________________
DVCAA’s Signature
____________
Date
Approvals
Vice Chancellor
Approved
Not Approved
____________________
____________
Vice Chancellor’s Signature
Date
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