Course Alpha Code:      ( i.e. MATH)

Course Numeric Code:  ( i.e. 1580)

Contact Person:             ( partial or whole name)            

Submission Date:           Month 1 2 3 4 5 6 7 8 9 10 11 12 / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Course Title:                  (some key words)        

To Be Approved by:     Not selected College Curriculum Authority College Dean UUCC or Graduate Council Curriculum Chair Faculty Senate Core Curriculum Committee Chair Office of the Provost