CURRICULA ACTION REQUEST FORM

UNIVERSITY OF CONNECTICUT

SENATE CURRICULA AND COURSES COMMITTEE

COURSE SUBMISSION FORM

Fill in all applicable sections of this form.

For new courses and requests for consideration for 1000-level, 2000-level, General Education or skill (W, Q) courses a syllabus must also be submitted.

This HTML version of the form can only be filled in on-line and submitted in email form. This version cannot be saved in its present format to your computer with filled in data. It can only be saved as the submission file. You must email the completed form to yourself first and then forward to the appropriate person or committee for review.

For complete instructions on filling out this form click here. For specific instructions for a box or section, click on the (?) symbol.

Submit the final completed form or email version to senatecourses@uconn.edu

NOTE: Do not hit the "Enter" key or "Submit Form" button until the form is completely filled out. Use mouse or tab key to navigate form. You may cut and paste information into text boxes from word processors or other text programs.

To make multiple selections from a multiple selection box, use Ctrl Left Mouse Click.

To delete a selection from a multiple selection box, use Ctrl Left Mouse Click

If you are using a Mac, use shift and click for the above actions

COURSE NUMBER (OR PROPOSED NUMBER) i.e. ANSC 2234
COURSE TITLE
INITIATING DEPARTMENT or ACADEMIC UNIT
NAME OF PERSON SUBMITTING THE COURSE
PHONE and EMAIL of SUBMITTER
CONTACT PERSON (C&C Chair or other departmental contact)
UNIT NUMBER (U-BOX)
PHONE and EMail of of contact person
ACTION REQUESTED
What is the action you are requesting?
If you are submitting a NEW course request, provide term and year of FIRST OFFERING. Fall Spring Intersession

Summer Year

If you are submitting a course that is currently, or would like it to be, a General Education Content Area Course, then select the action and group from the boxes at the right.

If you are submitting a course to be included in the CA 4 Diversity and Multiculturalism requirements and also wish to use this course to satisfy a CA 1, 2 or 3 requirement, use CTL Left Mouse Click to select both.


If this course is a CA 3 Science and Technology course and also has a laboratory component, then check the box to the right. (?)

If this course addressess issues of Diversity/ Multiculturalism outside of the United States (International), then check the box to the right (?)

CA 3 Lab Section

International

Skill Code Course. For skill code courses select action and skill code from the right.
Grading Basis Select from the box at the right for the appropriate grading method. (Graded=A,B,C, etc.)
Number of Credits (type in VAR if variable).
For more information on variable credits, please visit the Registrar's website: http://www.catalog.uconn.edu/acadm.htm#Ind		 if VAR Min Max
Is this course repeatable for credit? If yes, total credits allowed

Allow multiple enrollments in same term?
Semester(s) offered: Highlight all that apply.

Sections and Student Numbers. (Estimate values if not sure)

Number of Sections Taught

Number of Students/Section

Is Instructor, Dept. Head or Program Consent Required?
Date of Departmental Approval (MM/DD/YYYY)
Date of School/College Approval (MM/DD/YYYY)
If this course is cross listed, provide names and dates of additional Department and School/College approvals (MM/DD/YYYY)
Proposed Implementation Date Semester Year
Special Attributes: If this course will be taught Off Campus check this box

(Provide the off campus location in the box below. ) If this is a Year long course check this box

REGIONAL CAMPUS AVAILABILITY: Describe the availability of the proposed course at Each Regional Campus. If not generally available, please explain why. (?)

FOR REVISIONS TO EXISTING COURSES PROVIDE THE CURRENT TITLE AND COMPLETE CATALOG COPY AND REVISED TITLE AND COMPLETE CATALOG COPY: (Include standard abbreviation for Department or program, course number, skill code (if applicable), course title, semester offered, number of credits, prerequisites or recommended preparation (if applicable), consent of instructor (if applicable), exclusions (if applicable), repetition for credit (if applicable), instructor(s) name(s) (if in catalog copy), and complete course description.

Current Title and Catalog Copy

Revised Title and Catalog Copy

FOR NEW COURSE SUBMISSIONS PROVIDE THE PROPOSED TITLE AND COMPLETE
CATALOG COPY: (Include standard abbreviation for Department or program, course number, skill code
(if applicable), course title, semester offered, number of credits, prerequisites or recommended preparation
(if applicable), consent of instructor (if applicable), exclusions (if applicable), repetition for credit (if applicable), instructor(s) name(s) (if in catalog copy), and complete course description.

JUSTIFICATION FOR ACTION REQUESTED (?)
This should include the following as applicable:
a) reason for adding/dropping/revising the course,
b) why course is appropriate for inclusion at 1000 or 2000 level (or 100 or 200 level)
c) effect on department's curriculum,
d) effect on other departments,
e) amount of overlap with existing courses,
f) other departments consulted,
g) effects on regional campuses,
h) specific costs approved by dean,
i) if course is to be cross listed supply reason for cross-listing and approval from all departments affected
(Submit a separate email of approval),

SYLLABUS: Provide a syllabus. (This can be a general course outline providing enough information so the reviewer can determine the subject matter being taught, the basis by which grades are determined, types of assignments, etc.) Keep this to a minimum.

FOR ALL GENERAL EDUCATION COURSES provide the following information if not included in the syllabus.

a. A brief (2-3 sentences) course description that includes course goals and objectives.

b. Course requirements: Specify exam formats, nature and scope of weekly reading assignments, nature and scope of writing assignments, problem sets, etc.

c. List the major themes, issues, topics, etc., to be covered.

(You may cut and paste into the text box below from other text files but any material with tabs or columns in the original will lose that formating when the form is submitted to Senate C&C or GEOC)
ALL COURSES PROPOSED FOR A GENERAL EDUCATION CONTENT AREA MUST ANSWER THIS QUESTION.

How does the proposed course meet the GOALS of General Education? (?)
If this course if not being proposed for a content area, please skip this question and proceed to the next section.
FOR ALL COURSES: describe how the proposed course meets the Specific Criteria for the particular content area and/or competency chosen. (Arts and Humanities (?)), (Social Sciences (?)), (Science and Technology (?)), (Diversity and Multiculturalsim (?)) (Q course (?)) (W course (?))
FOR ALL LABORATORY COURSES: describe how the laboratory session will be conducted . (?)

RESOURCES:

Does the department/school/program currently have resources to offer the course as proposed (?)

YES NO (If you checked NO, please explain why and what resources are required to offer the course.

SUPPLEMENTARY INFORMATION: (e.g., other information that you believe will be useful in evaluating
the proposal such as why this course is appropriate for inclusion at the 1000 or 2000 level or as a Content Area or Competency (Q or W) course).


REMEMBER: This version cannot be saved in its present format to your computer with filled in data. Data entered is only saved as the submission file. THERE FORE: Email the completed form to yourself first and then forward the email version of the completed form to the appropriate person or committee for review.

Following School and/or College approval, email the final filled in form to: senatecourses@uconn.edu.

Ver 24 JULY 24, 2007