Colleague Course Change Form

Colleague Course Change Form
Requested by:*

First NameLast Name
Redlands Email Address for notifications
example@example.com
Term*

Spring 2025Summer 2024Fall 2025
This is a Concurrent or Off Campus course, and I have checked with Admissions and Advising prior to submitting the request.*

YesNo
Type of change (Choose all that apply)*

New CourseCancel CourseInstructor ChangeTime/Day ChangeRoom ChangeLimit ChangeOther
Method of Instruction*

TraditionalZOOMOnlineArrangedHybridOff Campus
Department/Subject*
Course-Section Number*
Example: 1113-05
Credit hours*
example: 3.0
Title*
Instructor*
Current Instructor*
New Instructor*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Enrollment Limit*
Days*

MondayTuesdayWednesdayThursdayFridaySaturdayOnlineArranged
Room requested. Note, enrollment limit and physical distancing may affect this change. *
Reason for the room change.*
This course has a lab section that will require a second set of dates, times and location

YesNo
2nd Method of Instruction*

TraditionalZOOM/IETVOnlineArrangedHybridOff Campus
2nd Start Time*

:HourMinutesAM/PM Option
2nd End Time*

:HourMinutesAM/PM Option
2nd Days*

MondayTuesdayWednesdayThursdayFridaySaturdayZoomOnline
Reason for Canceling Course*

Low/No EnrollmentDepartment RequestOther
Describe in detail the changes you are requesting.*
Additional Comments
Should be Empty: