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 γ€€ 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)