SPECIAL TOPICS COURSE PROPOSAL COVERSHEET
Is this course transferable Yes No
to other colleges/universities? ___ ___
Approved:
AA-1510.1A May 20, 2003*
* (Procedural/Title Update 1/6/15;
Title Updates 2/11/09; 2/24/05)
SPECIAL TOPICS COURSE PROPOSAL COVERSHEET
____________________
______________ ______________________________
Proposed Course Prefix
Course Number Course Title
Submitting faculty:
________________________________
Submitting faculty signature:
___________________________
Division
: ________________________________
Date:
_________________________________
Rationale for offering this course:
______________________________
_____________________________________________________________
_____________________________________________________________
Is this course transferable Yes No
to other colleges/universities? ___ ___
If yes, where?
________________________________________________
Requested Banner Workload Hours:
_____________________________
Signature:
______________________ _______________
Division Dean
Date
---------------------------------------------------------------------------------
Received in Office of Curriculum and Program Development
_____________
Recommended by
Executive Director of Curriculum and Program Development:
Signature:
______________________________
Start Term: ___________ Expiration Term: ____________
Approved:
_______________________________ _______________
Vice Chancellor for Academic Affairs Date
Entered in Banner:________ Originator, Dean, Registrar Notification: _______
Form 1510/003 (5/20)
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