APPENDIX D

Semester/Year Offered: _______

BOTH SIDES OF FORM MUST BE COMPLETED BEFORE APPROVALS MAY BE GRANTED

The 190, 290, 390, 490, 590, and 690 numbers are reserved for experimental or Special Topics courses. All such courses must carry the prefix of the discipline under which offered. (Example: HIST 390 - History of Burlington Northern Railroad).

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I. Department ________________________ II. Course Prefix_________ & No. ______90

III. Course Title ____________________________________________________________________

IV. Credit_________ Contact Hours: Lecture Hours________ Lab Hours_______

V. Meeting Time and Place: Time__________ Day (circle) M T W Th F S

Building_____________ Room Number__________

VI. Course Description:

VII. Objectives (concepts and skills which the student will be expected to understand or perform):

VIII. Texts and other instructional materials:

IX. Bibliography:

X. Equipment (as appropriate)

**************************** A P P R O V A L S ***********************

************************* FOR OFFICE USE ONLY ***********************

Title Abbreviation_____________________ Department Code__________________

Rec'd in Registrar's Office on___________ by ___________ CIP Code________

Contact Hours___________________ Lecture Hours___________ Lab Hours______