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The University Of Toledo

Existing Course Modification Form

* denotes required fields
Administrative Use Only
Code*:       CM
Date Received: / / (mm/dd/yyyy)
Effective Date: / / (mm/dd/yyyy)
CIP Code (if changed):
Subsidy (if changed):   
Please enter the changes below to each existing course. If changes are too extensive for this format, attach a page with all information.
 College*:                    Dept/Academic Unit*:  
Course Alpha/Numeric*-
 Contact Person*:     Phone:  (XXX - XXXX)         Email:
Present Proposed
Supply all information asked for in this column. Fill in appropriate blanks only where entry differs
(Supply core and transfer module info if applicable.) from first column.
Course Title*:          
 
 Course Title:                
Credit Hours*:   Credit Hours:   
CrossListings:
CrossListings:
To add a course, type in course ID and click the Insert button.

To remove a course, select the course on left and click the Remove button.

To add a course, type in course ID and click the Insert button.

To remove a course, select the course on left and click the Remove button.

Prerequisite(s)(if prerequisite is longer than 50 characters, please place it in Catalog Description):
  
Prerequisite(s)if prerequisite is longer than 50 characters, please place it in Catalog Description): 
 
Catalog Description (only if changed): Catalog Description (only if changed):
Univ Core: Engl Hum Math Sci Soc Sci Univ Core: Engl Hum Math Sci Soc Sci
                            US Culture Non-US Culture                            US Culture Non-US Culture
Transfer Module: Arts & Humanity Engl Math Transfer Module: Arts & Humanity Engl Math
                           Social Science Natural Science & Physics                            Social Science Natural Science & Physics
Reason for change*
Has course content changed? No Yes    If course content is changed, give a brief topical outline of the revised course below ( less than 1500 words.).
Or attach an electronic copy of outline:
Has the course changed from a non-core curriculum course to a core curriculum course?No Yes    If so, explain how this course fulfills
the core curriculum/general education guidelines in Faculty Senate Website and submit a course syllabus using the template:
List any course or courses to be dropped. Effective Date: /  /
Approval:
Department Curriculum Authority: Date /   /
Department Chairperson: Date /   /
College Curriculum Authority: Date /   /  
College Dean: Date /   /
After college approval, submit the original signed form to the Faculty Senate (UH 3320) for undergraduate-level courses; for graduate-level courses submit the original signed form to the Graduate School (UH3240). For undergraduate/graduate dual-level courses, submit the proposals to each office.
UUCC or Graduate Council Curriculum Chair: Date /   /
Faculty Senate Core Curriculum Committee Chair: Date /   /
Office of the Provost : Date /   /
Registrar's Office: Date /   /

You will see a confirmation page after you press the submit button. If you do not see the confirmation page, please call x 4320 or send an email to ProvostWebMaster.utoledo.edu. Thanks.