FORMAT 1
Submit original with signatures + 1 copy + electronic copy to Faculty Senate (Box 7500).
See http://www.uaf.edu/uafgov/faculty-senate/curriculum/course-degree-procedures-/ for a complete description of the rules governing curriculum & course changes.
TRIAL COURSE OR NEW COURSE PROPOSAL

SUBMITTED BY:
Department	
 	
College/School	

Prepared by	
 	
Phone	

Email Contact	
 	
Faculty Contact	

	

1. ACTION DESIRED 
(CHECK ONE):	
Trial Course	
	
New Course	

2. COURSE IDENTIFICATION:	
Dept	
	
Course #	
	
No. of Credits	

Justify upper/lower division status & number of credits:	

3. PROPOSED COURSE TITLE:	

4. To be CROSS LISTED?            YES/NO	
 	
If yes, Dept:	
	
Course #	

(Requires approval of both departments and deans involved.  Add lines at end of form for such signatures.)

5. To be STACKED?                    YES/NO	
 	
If yes, Dept.	
	
Course #	

	

	

6. FREQUENCY OF OFFERING:	

	
Fall, Spring, Summer (Every, or Even-numbered Years, or Odd-numbered Years) — or As Demand Warrants	

7. SEMESTER & YEAR OF FIRST OFFERING (AY2011-12 if approved by 3/1/2012; otherwise AY2012-13)	

 	

8. COURSE FORMAT:
NOTE: Course hours may not be compressed into fewer than three days per credit. Any course compressed into fewer than six weeks must be approved by the college or school's curriculum council. Furthermore, any core course compressed to less than six weeks must be approved by the core review committee. 
COURSE FORMAT: 
(check all that apply)	
	
1	
	
2	
	
3	
	
4	
	
5	
	
6 weeks to full semester	

OTHER FORMAT (specify)	

Mode of delivery (specify lecture, field trips, labs, etc)	

	

9. CONTACT HOURS PER WEEK:	
	
LECTURE
hours/weeks	
	
LAB
hours /week	
	
PRACTICUM
hours /week	

Note: # of credits are based on contact hours.  800 minutes of lecture=1 credit.  2400 minutes of lab in a science course=1 credit.  1600 minutes in non-science lab=1 credit.  2400-4800 minutes of practicum=1 credit.  2400-8000 minutes of internship=1 credit.  This must match with the syllabus. See http://www.uaf.edu/uafgov/faculty-senate/curriculum/course-degree-procedures-/guidelines-for-computing-/ for more information on number of credits.

OTHER HOURS (specify type)	

	

10. COMPLETE CATALOG DESCRIPTION including dept., number, title, credits, credit distribution, cross-listings and/or stacking (50 words or less if possible):

	

11.  COURSE CLASSIFICATIONS: Undergraduate courses only. Consult with CLA Curriculum Council to apply S or H classification appropriately; otherwise leave fields blank.
H = Humanities 	
 	
S = Social Sciences 	

Will this course be used to fulfill a requirement 
for the baccalaureate core? If YES, attach form.	
YES:	
	
NO:	

IF YES, check which core requirements it could be used to fulfill:
O = Oral Intensive, Format 6 	
	
 W = Writing Intensive, Format 7 	
	
Natural Science, Format 8	

	

12.  COURSE REPEATABILITY: 
Is this course repeatable for credit?	
YES	
	
NO	

Justification:  Indicate why the course can be repeated (for example, the course follows a different theme each time).	

	

How many times may the course be repeated for credit? 	

 TIMES	

If the course can be repeated for credit, what is the maximum number of credit hours that may be earned for this course?	
	
 CREDITS	

If the course can be repeated with variable credit, what is the maximum number of credit hours that may be earned for this course?	
	
 CREDITS	

13. GRADING SYSTEM:   Specify only one.  Note: Later changing the grading system for a course constitutes a Major Course Change.
LETTER:	
	
PASS/FAIL:	

	

RESTRICTIONS ON ENROLLMENT (if any)
14.  PREREQUISITES	

These will be required before the student is allowed to enroll in the course.

15. SPECIAL RESTRICTIONS, CONDITIONS	

16. PROPOSED COURSE FEES	
$	

Has a memo been submitted through your dean to the Provost for fee approval?                                                                                                                                               Yes/No	

	

17. PREVIOUS HISTORY 
Has the course been offered as special topics or trial course previously?                                                                                                                       Yes/No	

If yes, give semester, year, course #, etc.:	

	

18. ESTIMATED IMPACT 
WHAT IMPACT, IF ANY, WILL THIS HAVE ON BUDGET, FACILITIES/SPACE, FACULTY, ETC.	

	

19. LIBRARY COLLECTIONS
Have you contacted the library collection development officer (kljensen@alaska.edu, 474-6695) with regard to the adequacy of library/media collections, equipment, and services available for the proposed course?  If so, give date of contact and resolution.  If not, explain why not.   
No	
	
Yes	

	

20. IMPACTS ON PROGRAMS/DEPTS
What programs/departments will be affected by this proposed action?
Include information on the Programs/Departments contacted (e.g., email, memo)	

	

21. POSITIVE AND NEGATIVE IMPACTS
Please specify positive and negative impacts on other courses, programs and departments resulting from the proposed action.	

	

JUSTIFICATION FOR ACTION REQUESTED
The purpose of the department and campus-wide curriculum committees is to scrutinize course change and new course applications to make sure that the quality of UAF education is not lowered as a result of the proposed change.  Please address this in your response.  This section needs to be self-explanatory.  Use as much space as needed to fully justify the proposed course.   

	

APPROVALS:  Add additional signature lines as needed.

Date	

Signature, Chair, Program/Department of:	

	
Date	

Signature, Chair, College/School Curriculum Council for:	

	
Date	

Signature, Dean, College/School of:	

	
Date	

Signature of Provost (if applicable)	

Offerings above the level of approved programs must be approved in advance by the Provost.

ALL SIGNATURES MUST BE OBTAINED PRIOR TO SUBMISSION TO THE GOVERNANCE OFFICE

Date	

Signature, Chair
Faculty Senate Review Committee:  ___Curriculum Review     ___GAAC    
               
                                  ___Core Review     ___SADAC

	

ADDITIONAL SIGNATURES: (As needed for cross-listing and/or stacking)

Date	

Signature, Chair, Program/Department of:	

	
Date	

Signature, Chair, College/School Curriculum Council for:	

	
Date	

Signature, Dean, College/School of:	

	

ATTACH COMPLETE SYLLABUS (as part of this application).  Note: The guidelines are online: 
http://www.uaf.edu/uafgov/faculty-senate/curriculum/course-degree-procedures-/uaf-syllabus-requirements/
The Faculty Senate curriculum committees will review the syllabus to ensure that each of the items listed below are included. If items are missing or unclear, the proposed course (or changes to it) may be denied. 

Syllabus CHECKLIST for all UAF courses
During the first week of class, instructors will distribute a course syllabus. Although modifications may be made throughout the semester, this document will contain the following information (as applicable to the discipline):

1. Course information: 
qTitle, q number, qcredits, qprerequisites, q location, q meeting time 
(make sure that contact hours are in line with credits).
2. Instructor (and if applicable, Teaching Assistant) information: 
 q Name, q office location, q office hours, q telephone, q email address.
3. Course readings/materials: 
 q Course textbook title, q author, q edition/publisher.  
 q Supplementary readings (indicate whether  q required or  q recommended) and 
 q any supplies required. 
4. Course description: 
 q Content of the course and how it fits into the broader curriculum; 
 q Expected proficiencies required to undertake the course, if applicable. 
 q Inclusion of catalog description is strongly recommended, and
 q Description in syllabus must be consistent with catalog course description.
5. q Course Goals (general), and (see #6)
6. q Student Learning Outcomes (more specific)
7. Instructional methods: 
 q Describe the teaching techniques (eg: lecture, case study, small group discussion, private instruction, studio instruction, values clarification, games, journal writing, use of Blackboard, audio/video conferencing, etc.).
8. Course calendar:
q A schedule of class topics and assignments must be included.  Be specific so that it is clear that the instructor has thought this through and will not be making it up on the fly (e.g. it is not adequate to say “lab”.  Instead, give each lab a title that describes its content).  You may call the outline Tentative or Work in Progress to allow for modifications during the semester.
9. Course policies: 
 q Specify course rules, including your policies on attendance, tardiness, class participation, make-up exams, and plagiarism/academic integrity. 
10. Evaluation: 
 q Specify how students will be evaluated, q what factors will be included, q their relative value, and  q how they will be tabulated into grades (on a curve, absolute scores, etc.) q Publicize UAF regulations with regard to the grades of "C" and below as applicable to this course. (Not required in the syllabus, but may be a convenient way to publicize this.) Faculty Senate Meeting #171:
http://www.uaf.edu/uafgov/faculty-senate/meetings/2010-2011-meetings/#171
11. Support Services:
 q Describe the student support services such as tutoring (local and/or regional) appropriate for the course.
12. Disabilities Services: 
The Office of Disability Services implements the Americans with Disabilities Act (ADA), and insures that UAF students have equal access to the campus and course materials. 
q State that you will work with the Office of Disabilities Services (208 WHITAKER BLDG, 474-5655)to provide reasonable accommodation to students with disabilities.                                                         	6/30/2011