FORMAT 1B
SUMMER SESSION SPECIAL TOPICS COURSE PROPOSAL
Submit originals to Summer Sessions; contact Summer Sessions for deadlines, 474-7021. 

SUBMITTED BY
Department	
 	
College/School	

Prepared by	
 	
Phone	

Email Contact	
	
Proposed Instructor	

	
COURSE IDENTIFICATION 
Dept	
 	
Course #	
___95	
No. of Credits	

Justify upper/lower division status & number of credits:	

PROPOSED TITLE	

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.)

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

(The syllabus must clearly indicate differences in required work and evaluation for students at different levels.)

DATE/PLACE OF OFFERING
Date of Offering	

	
Semester/Year or Beginning/Ending Dates	

Place/Campus of Offering	

	

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 one)	
	
1	
	
2	
	
3	
	
4	
	
5	
	
6 weeks to full semester	

OTHER FORMAT (specify)	

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

	

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/cd/credits.html for more information on number of credits.

OTHER HOURS (specify type)	

	

GRADING SYSTEM (check one):	
	
  LETTER	
	
PASS/FAIL	

COMPLETE COURSE DESCRIPTION with course number, title and credits (50 words or less, if possible):

	

RESTRICTIONS ON ENROLLMENT (if any)
PREREQUISITES	

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

RECOMMENDED	

			Classes, etc. that student is strongly encouraged to complete prior to this course.

SPECIAL RESTRICTIONS, CONDITIONS	

PROPOSED COURSE FEES	
$	

Has a memo been submitted through your dean to the Provost & VCAS for fee approval?  Y/N	

	

PREVIOUS HISTORY 
Has the course been offered as special topics or trial course previously?  Y/N	

If yes, give dates, course #, etc.:	

	

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

	

Have you contacted the library collection development officer (ffklj@uaf.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	

	

JUSTIFICATION FOR ACTION REQUESTED
The purpose of the department and campus-wide curriculum committees is to scrutinize 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:

Date	

Signature, Chair, Program/Department of:	

	
Date	

Signature, Chair, College/School Curriculum Council for:	

	
Date	

Signature, Dean, College/School of:	

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

Date	

Signature of Provost (if applicable)	

ALL SIGNATURES MUST BE OBTAINED PRIOR TO SUBMISSION TO THE SUMMER SESSION OFFICE

ADDITIONAL SIGNATURES:   (If required):

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).  This list is online at: 
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,  what factors will be included, q their relative value, and   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 is a convenient way to publicize this.) Link to PDF summary of grading policy for “C”:
http://www.uaf.edu/files/uafgov/Info-to-Publicize-C_Grading-Policy-UPDATED-May-2013.pdf
11. Support Services:
 q Describe the student support services such as tutoring (local and/or regional) appropriate for the course.
12. Disabilities Services: Note that the phone# and location have been updated. http://www.uaf.edu/disability/   The Office of Disability Services implements the Americans with Disabilities Act (ADA),  and ensures 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.                                                         		
Note: Optional Title IX syllabus statement may be used. See http://www.uaf.edu/oeo/eeo-statement/

07/28/2015