GENERAL EDUCATION COURSE ACTION REQUEST FORM

FOR RECERTIFYING Q COURSES

GENERAL EDUCATION OVERSIGHT COMMITTEE

NOTE: This form should be used during only if you are recertifying an existing Q course that DOES NOT HAVE a change of catalog copy and WILL NOT be used to meet Group 1-4 requirements under the new General Education System.

NOTICE: This HTML version of the form can only be filled in on-line and submitted in email form. This version cannot be saved in its present format with filled in data to your computer, only as the submission file. Use your browsers BACK button to go back to the form after sending to fill out for another submission.

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on the (?) symbol.

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COURSE NUMBER (OR PROPOSED NUMBER) e.g.,. ANSC 234 (?)
COURSE TITLE (?)
NUMBER OF CREDITS
INITIATING DEPARTMENT OR ACADEMIC UNIT
CONTACT PERSON (C&C Chair or other departmental contact)
UNIT NUMBER (U-BOX)
PHONE (of Contact Person)
EMAIL (of Contact Person)
Date of Departmental ReApproval (mm/dd/yyyy)
ENTER THE COMPLETE TITLE AND CATALOG COPY FOR THE 2005/2006 CATALOG : (?) (more details)
(Include standard abbreviation for Department or program, course number, skill code (if applicable), course
title, semester offered, number of credits, prerequisites or recommended preparation (if applicable), consent
of instructor (if applicable), exclusions (if applicable), repetition for credit (if applicable), open to
sophomores (if applicable), instructor(s) name(s) (if in catalog copy), and complete course description.

JUSTIFICATION AND COURSE INFORMATION:

1. Describe how the proposed course meets the Specific Criteria for theQ competency area.
course (?)

FOR COURSES BEING OFFERED AT THE STORRS CAMPUS : (?)

Terms offered: (Choose all that apply) Estimate the number of sections per term:

Estimate number of available seats per section:

Estimated total number of students per year:

Describe the expected role of graduate student assistants in the course, their preparation for teaching or
assisting with this course, and how and by whom they will be supervised: (?)


REGIONAL CAMPUS AVAILABILITY: Describe the availability of the proposed course at
Each Regional Campus. If not generally available, please explain why. (?)

RESOURCES:

1. Does the department/program currently have resources to offer the course as proposed? (?) 
YES NO (If you checked NO, please explain why, and what resources you need to offer the course)

2. Explain any impact this course will have on faculty teaching loads. (?)

SUPPLEMENTARY INFORMATION: (e.g., other information that you believe will be useful to GEOC in evaluating the proposal or implementing the general education system)

To send the filled in form to the appropriate C&C contact person, insert their email address(es) in the box below and and click on submit. PLEASE NOTE: YOUR C&C CONTACT PERSON SHOULD FORWARD THIS PROPOSAL TO GEOC AFTER THEIR REVIEW AND APPROVAL. THIS FORM IS NOT AUTOMATICALLY SUBMITTED TO GEOC!
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Revision 9/30/04