Curriculum & Academic Standards Change Request Form

Curriculum & Academic Standards Change Request Form
Proposal Initiated By*

First NameLast Name
Date*

MonthDayYear
What type of Curriculum Change are you proposing? (Only choose ONE option for each request). PLEASE READ BELOW BEFORE MAKING YOUR SELECTION.

New CourseCourse ChangesProgram ChangesNew/Additional Program ProposalInformation OnlyCourse Deactivation
New Courses
- Proposal for a new course
Course Changes
- Complete a seperate course change form for each course changing. If you are making several changes to the same course, all of those changes can go on one form.
- Examples of Course Changes
  - Course title change (name of the course)
  - Prerequisite/corequisite changes that do not change the course/ program objectives
  - Revising a catalog course description
  - Reactivation of a course without changes to objectives
  - Credit or contact hour changes
  - Change of course objectives
Program Changes
- You can list more than one change to the SAME program on ONE program change form. Summarize all changes in the description box in the form.
- Examples of Program Changes
  - Program title change
  - Adding/Removing a course from a program
  - Changing program elective options
  - Changing graduation requirements
  - Change to the General Education requirements
  - Changes to program guide that reflect articulation agreement changes
  - Program being deactivated
  - NOTE: Pathways are SEPERATE from Programs.
New/Additional Program Proposal
- New program
- Additional program
  - The actual program may already exist, but you are changing/adding new requirements that require an additional degree designator (AAS.XXX or AA.XXX) to be created in addition to the existing degree.
- Reactivation of a program
Information Form
- Changes to a Pathway that DO NOT change the program itself
- Typos or grammar edits in title or course description, program guide, etc.
- Program guide changes in appearance/formatting updates
- Changes to DQP language
- Course Fee Change
- Informational updates that do not change existing course or program objectives, course name, or course prerequisites or corequisites.
- Any other general informational items to share with the committee.
Course Deactivation
- Use to deactivate any courses that will no longer be scheduled.
If you are unsure, contact your Curriculum Committee Chair. If you submit and realize an error, this can be corrected without redoing the form.

Information Only
Explain any informational updates related to Curriculum and Academic Standards. Please be specific.*
Please include the course name, if applicable.
If this is a change in course fee, include the current and new course fee. If this is for multiple courses, please include the current and new course fee for each in the first box above.
If this this a change to the Degree Qualification Profile (DQP) Proficiencies, please include which proficiencies are being added and which are being removed and include any changes to the student learning outcomes. Please include why you changing the outcomes.
If this is a change to a pathway that does NOT change the program itself, include the name of the pathway here.
What semester will this change be effective?*
Ex. 2024FA
Who will be presenting this informational item at the Curriculum meeting?
Any supporting documents can be uploaded here

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Program Changes
Program Name*
Total Number of Credit Hours*
CIP Code (Use to help: https://nces.ed.gov/ipeds/cipcode/default.aspx?y=55)
What type of degree is this program?*

Associate DegreeCertificateTraining Credential
Description and Rationale for program change(s) (be complete).*
Explain any resource impact (instructional space, faculty (part/full), equipment, etc.) due this change (be complete).
Does this program have an advisory committee? If yes, on what date did the advisory committee approve of the proposed program change? Explain.
Does the proposed change impact your Program Outcomes? If yes, please list your revised program goals and mission.
Does the proposed change impact learning outcomes? If yes, provide revised assessment plan.
List what new courses this proposal will entail and when they will be introduced. The new course approval process and form must be completed for EACH new course.
Does this program change have an impact on other programs or disciplines? If the program change does impact other areas, have appropriate Deans been informed? Explain.
Will this program change, impact any Guided Pathways?

Yes, the change to the program will change the associated Guided Pathway.No, the change to the program doesn't impact any Guided Pathways.
If yes, which Pathways and how? Be sure to update the Guided Pathway(s) this program change will impact and make sure to send it through the approval process for website placement.
Upload a copy of the PROPOSED program guide. Program guides are the documents found in the College Catalog, not the Pathway. These are separate documents housed in two separate places. The proposed program guide should have the changes in red or crossed off, so it is clear which changes are being made.

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Who will be presenting this item at the curriculum meeting?*
Is the information included in this program change request complete?*

Yes

Course Deactivation
Course Name*
Ex. ACC.101
Please include why this course is being deactivated.*
What is the last semester this course will be offered?*
Is this course listed as a prerequisite or corequisite to any active courses? If yes, please list which courses.*
Does this course have an A/B or X/Y course associated with it that also need to be deactivated? If yes, please include the associated course names as well.*
Will removing this course impact any program(s)? If so, include which program(s).*
Will removing this course impact any pathway(s)? If so, include which pathway(s).*
Who will be presenting this item at the Curriculum Meeting?*
Is the information included in this course deactivation request complete?*

YesNo

Academic Dean Information
Your Dean's Name*
Your Dean's Mid Mich Email*
Requestor Information
Requestor's Mid Mich Email*
example@midmich.edu
Requestor's Signature

Clear

For Deans Use Only. Click to respond to request.
Dean Response to Curriculum Proposal

Approved fully with no changesDenied fullyApproved with changes
Changes needed in order for request to be approved (from Dean).
Dean's Signature

Clear

For Registrar Use Only. Click to respond to request.
Registrar Response to Curriculum Proposal

Approved fully with no changesDenied fullyApproved with changes
Changes needed in order for request to be approved (From Registrar). Or any additional comments regarding this proposal.
Registrar's Signature

Clear
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Curriculum & Academic Standards Change Request Form

Information Only

New Course

Course Changes

Program Changes

New Program Proposal

Course Deactivation

Academic Dean Information

Requestor Information