The University Of Toledo

Existing Course Modification Form      

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:
Contact Person: Phone: 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 Alpha/Numeric:     - 		Course Alpha/Numeric:     -
Course Title:    Course Title:  
 
Credit Hours:     Credit Hours:    
CrossListings: CrossListings:
Prerequisite(s):  Prerequisite(s): 

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 so, give a brief topical outline of the revised course below.
   
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.
List any course or courses to be dropped. Effective Date: / / (mm/dd/yyyy)
Approval:
Department Curriculum Authority: Date / / (mm/dd/yyyy)
Department Chairperson: Date / / (mm/dd/yyyy)
College Curriculum Authority: Date / / (mm/dd/yyyy)
College Dean: Date / / (mm/dd/yyyy)
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 / / (mm/dd/yyyy)
Faculty Senate Core Curriculum Committee Chair: Date / / (mm/dd/yyyy)
Office of the Provost : Date / / (mm/dd/yyyy)
Registrar's Office: Date / / (mm/dd/yyyy)