Purdue Northwest Curriculum Document Coversheet Document No: (According to s) Approval by Faculty Senate: (Leave Blank) Proposed Effective Date Date Reviewed by Senate Curriculum Committee: blank) Submitting Department: (Name of both Dept & College/School ) Name(s) of Library Staff Consulted: (NA if not required) Date Reviewed by Department Submission Date: (Date sent to College/School Curr Comm Dept Review) Will New Library Resources Used? Yes No Double-click to check Yes / No. Date Reviewed by College/School Curriculum Committee Form 40 Needed? (Double-click one box.) Registrar will complete Form 40 Senate approval of document. Yes New courses or any course change, check YES No For all other curriculum matters, check NO. Contact Person(s): (Name & Unless marked “Leave blank” all parts of this form must be filled in before sending to Secretary of the Faculty Senate. Task all that apply and fill out sections appropriate for each change). Program/Concentration Change or New Program/Concentration Proposal: Complete Section I, III, & IV Minor Change or New Minor Proposal: Complete Section I (delete sections III & IV) Certificate Change or New Certificate Proposal: Complete Section I (delete sections III & IV) Course Change or New Course Proposal: Complete Section II (delete sections III & IV) Program name. Degree name(s). (If applicable.) Section I: This section is for changes in programs, minors and certificates List the major changes in each program of study, minor or certificate. Impact on Students. (State “N/A” if proposal will not greatly affect students.) Impact on University Resources. (State “N/A” if proposal will not require new resources, faculty or funds.)
Course name and number x credits ______ Concentration x credits Total credits required for baccalaureate degree: ______* *For degree programs that require an excess of 120 credit hours, provide explanation and attach documentation, if appropriate. Section IV: For all Program Changes; Current Semester by Semester (Delete if new program) Semester One Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number Yes=X Credits Number Min Prerequisites Semester Two Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites
Semester Three Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites Semester Four Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Prerequisites
Semester Five Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites Semester Six Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites
Semester Seven Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites Semester Eight Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites Notes: Section IV continued: For all Program Changes; Proposed Semester by Semester Semester One Total Credits =
Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites Semester Two Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Prerequisites Semester Three Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites
Semester Four Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number Yes=X Credits Number Min Grade Prerequisites Semester Five Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites
Semester Six Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites Semester Total Credits = Program Requirements : Designate Program Requirement Subject Code/Course Number (GenEd) Yes=X Credits Number Min Grade Prerequisites