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Class Submission Form
Class Submission Form
Instructor Information
Name
Office
Phone
E-mail
Preferred payment method
Salary
DRA Transfer
GTA
Are you approved by the Graduate School to teach graduate-level classes?
Yes
No
If no, provide the name of an approved instructor who will act as the graduate instructor of record.
Required for Graduate-level classes and also classes listed for Graduate students.
Course Information
Title
Course Subject
(ex. PSYCH)
Course Number
Description
Dates
Times
Day of the Week
Credit Hours
Credit Level
Undergraduate (UG)
Graduate (G)
Prerequisites
Delivery Methods
Face-to-face
Web
E-mail Lists/Message Boards
E-mail
Videotape
CD-ROM
Audiocassette
Guided Study
Telenet 2
Other
Textbook Required?
Yes
No
Additional Course Information
Minimum Enrollment Needed to make Class a "Go"
Maximum Enrollment
Estimated Enrollment
Building and Room Preferences (Be Specific)
Special Fees (Be Specifc)
(examples: photocopying, special supplies, materials, etc.)
Equipment Needs for the Classroom
(examples: DVD/VCR, overhead, computer system, tech classroom, etc.)
Guest Lecturer Information (If Applicable)
Name
Home Address
Additional Information for Travel Course (If Applicable)
Registration Deadline
Cost of Travel
Deposit Amount
Deposit Due Dates
Destination
Dates of Required Planning Meetings
