Course Change Instructions

 Please include new/revised course information in the application header, but always complete even if no change
are being made to the title or credits.
 Do not use the & symbol in the course title. Please spell out the word (& ok for abbreviated title).
 A syllabus is required for all course change applications that are requesting one or more of the following:
 Changing credits (e.g., 3 to 4)
 Changing to or from CR/NC grading
 Changing grade level (e.g., 300 to 400)
 Adding Distance Learning
 Making a substantial change in content
 Minimum requirements for submitted syllabus:
 1. Course overview and curriculum content
 2. Learning Goals/Objectives
 3. Required Texts, readings, films, websites, etc
 4. Evaluation and grading to include information on expectations for assignments, projects, exams, etc.,
should include relative % for each area.
 5. Course Schedule
 For information on creating a course syllabus see CIDR’s “Planning the Course Syllabus”:
(http://depts.washington.edu/cidrweb/Bulletin/Syllabus.html)

 If you would like this course to be added to an approved elective list for your major, please state this in the
justification.

 Additional instructions on how to fill out this form can be found online at
http://depts.washington.edu/uwcr/instructions.html.

Preferred submission method:

a) The Original signed, single-sided application, with a syllabus and DL application if appropriate included behind
the application.

b) One copy, double sided, stapled with application in front and the syllabus and DL application if appropriate behind the syllabus. 1
staple per copy only please, and remember to copy both sides.
Note: Departments in the College of Arts & Sciences submit just the original to the College.
Note: If the application is for a course change that is joint between two or more units within the same College or School please
include 2 additional copies per joint unit.

c) Either paper-clip or binder-clip the copy behind the original. You should only need 1 paper clip per original and copy. Also no rubber
bands please - ouch!

e) Original Memo of responsibility for any changes after the Time Schedule deadline paper-clipped to the
FRONT of the Original application. I DO NOT need copies of the Memo.

** Please do not group applications together. Submit each application separately paper-clipped or binder-clipped.
This helps make sure an application does not get lost.
COURSE CHANGE APPLICATION For Office Use Only:
C
Prefix (new if changing, Number
6 characters max.) (new if changing)

University of Washington
Curriculum Review Committee Offered jointly with:

College or School Department Date

Course Title (list existing title or new title if changing) Credits (list existing credits or new credits if changing)

1. PURPOSE OF REQUEST (Check all that apply)

 Permanent change, to be effective Quarter 20 .
 Temporary change, to be effective Quarter 20 through Quarter 20 .
OLD (CURRENT) DATA NEW DATA

 Change prefix and/or number

 Change course title *

 Change abbreviated title (19 spaces max.)

*(Must be changed if changing course title,
type in CAPS)

 Change credits

 Change prerequisites
 Enforce prerequisite cancellation

 Add joint status  Drop joint status

 Change course description  Change Areas of Knowledge (only if changing course content)
 Change to permanent CR/NC only  Drop permanent CR/NC only
 Change contact hours  Allow course to be offered with DL status (Must also complete section 7)
 Add course to the following approved major/minor elective lists:
 Drop course  Add Equivalency Status (Must also complete section 10)

Attach a course syllabus/outline and reading list if requesting an increase in course level or credits or a substantial change in content.

2. JUSTIFICATION and CONTACT INFORMATION

Explain why this change is being proposed, including its relationship to your overall curriculum and what comes before and after the
course. Please list contact information for individual(s) submitting this application. (Attach additional sheet if necessary.)

Contact Name: Phone: Email: Box #:

3. CATALOG DATA/COURSE DESCRIPTION (Complete only if changed. Must be double spaced.)

C h e c k a l l a p p l i c a b l e A r e a s o f K n o w l e d g e c a t e g o r i e s  V L P A  I&S  NW  QSR  C DV
(50-word limit)

Optional Catalog information (include only if you want this information listed in the General Catalog description):
Names and ranks of probable instructors (Include curriculum vitae for any instructor not now on the University faculty)

Quarter(s) offered (A, W, Sp, S)

REV.06/13 COMPLETE OTHER SIDE OF THIS FORM

4. CREDITS AND HOURS
a. Instructional and Additional hours: 1 credit represents a total time commitment of 3 hours per week of student effort.
Instructional hours per week (complete 7a instead of 4a if course offered only as a DL course.
Lecture Laboratory

Quiz section Studio

Seminar *Other __________

*Attach explanation and justification for “other” instructional hours. TOTAL WEEKLY INSTRUCTIONAL HOURS:
How many hours in addition to the instructional hours will a student
be expected to spend each week in preparation for this course? TOTAL WEEKLY ADDITIONAL HOURS:
TOTAL WEEKLY INSTRUCTIONAL AND ADDITIONAL HOURS:

b. If variable credit, how will the number of credits awarded be related to the amount of student effort required?

c. How will students be evaluated for credit or grades? Provide specific information on assignments, projects, exams, etc. and relative % for each area.

5. STUDENTS
a. Anticipated enrollment per quarter .
b. Types of students expected:  Undergraduate Majors/Minors  Graduate Students  Non-Matriculated Students
 Undergraduate non-majors  Professional Students

6. LEARNING OBJECTIVES
By the end of the course, students will demonstrate the ability to:

7. DISTANCE LEARNING
If there will be sections of the course that are delivered with more than 50% of instruction as distance learning, attach a syllabus for the DL course as well as
the in-classroom syllabus, if both are planned.
a. Instructional and Additional hours: 1 credit represents a total time commitment of 3 hours per week of student effort.
Instructional hours per week in-classroom Instructional hours per week distance learning
Lecture Laboratory Interactive Lecture Live Chat

Quiz section Studio Recorded Lecture Discussion Board

Seminar *Other __________ *Other

*Attach explanation and justification for “other” instructional hours. *Attach explanation and justification for “other” instructional hours.

TOTAL WEEKLY INSTRUCTIONAL HOURS:

How many additional hours will a student be expected to spend
each week in preparation for this course? TOTAL WEEKLY ADDITIONAL HOURS:
TOTAL WEEKLY INSTRUCTIONAL AND ADDITIONAL HOURS:

b. what are the specific means of content delivery used in the distance learning portions of the course?

c. will the course be offered in a □ synchronous (students work through the material at the same, pre-determined pace) or
□ asynchronous (students work through material at their own pace) mode?
d. If this DL course is also being offered as a separate version in the classroom, please describe how the DL and in-classroom instructor will coordinate
expected learning outcomes, examinations, and grading.

e. How will examinations be administered securely? Describe safeguards for academic integrity.

f. Describe how students will receive feedback throughout the course and how student learning will be assessed.

g. How will students interact with the instructor and other students? Will there be any face-to-face meetings with the instructor and other students?
8. JOINT COURSE
List all departments, schools, or colleges participating. Joint course applications require a signature from each unit.
(If units from more than one school or college participate, a separate application must be filed by each.)

Name of unit New Existing

(List the unit responsible for Course prefix Course Course
and number Signature of chair/director
administering the course first)

9. OTHER COLLEGES, SCHOOLS, OR DEPARTMENTS AFFECTED

If this course includes subject matter currently dealt with by any other University units, the originating department must circulate this application for
review by those units and obtain the necessary signatures prior to submission. Failure to do so will delay action on this application.

Name of unit Signature of dean/chair/director

10. COURSE EQUIVALENCY

Courses requesting to be approved as equivalent to a course on one or more University of Washington campuses must have the chair/dean/director of
each unit currently offering the course to sign below. More information about course equivalency can be found on the Curriculum Office website:
http://depts.washington.edu/registra/curriculum/FCASpolicies.php#EquivalentCourses

Equivalent Course(s) Recommend Recommend

Name of unit approval disapproval Signature of dean/chair/director
(if applicable) (attach explanation)

11. APPROVAL Date

Chair/Director of submitting department/unit

College Curriculum Committee

College Dean/Vice Chancellor