FORMAT 1
Submit original with signatures to Faculty Senate 
(Box 7500 or UAF-Faculty-Senate-Office@alaska.edu)
See https://www.uaf.edu/uafgov/faculty-senate/curriculum/index.php for a complete description of the rules governing curriculum & course changes.
TRIAL COURSE 
(Attach copy of syllabus)

SUBMITTED BY:
Department	
 	
College/School	

Prepared by	
 	
Phone	

Email Contact	
 	
Faculty Contact	

	

1. COURSE IDENTIFICATION:	
Dept	
	
Course #	
	
No. of Credits	

Justify upper/lower division status & number of credits:	

2. PROPOSED COURSE TITLE:	

3. To be CROSS LISTED?                		YES/NO	
 	
If yes, Dept:	
	
Course #	

NOTE: Cross-listing requires approval of both departments and deans involved.  Add lines at end of form for additional required signatures.

4. To be STACKED?*                    			YES/NO	
 	
If yes, Dept.	
	
Course #	

How will the two course levels differ from each other? How will each be taught at the appropriate level?: 	

* Use only one Format 1 form for the stacked course (not one for each level of the course!) and attach syllabi. Stacked course applications are reviewed by the (Undergraduate) Curricular Review Committee and by the Graduate Academic and Advising Committee. Creating two different syllabi (undergraduate and graduate versions) will help emphasize the different qualities of what are supposed to be two different courses. The committees will determine: 1) whether the two versions are sufficiently different (i.e. is there undergraduate and graduate level content being offered); 2) are undergraduates being overtaxed?; 3) are graduate students being undertaxed?  In this context, the committees are looking out for the interests of the students taking the course. Typically, if either committee has qualms, they both do. More info online – see URL at top of this page. 

5. FREQUENCY OF OFFERING:	

	
Fall, Spring, Summer (Every, or Even-numbered Years, or Odd-numbered Years) — or As Demand Warrants	

6. SEMESTER & YEAR OF FIRST OFFERING (Effective AY2015-16 if approved by 3/31/2015; otherwise AY2016-17)	

 	

7. COURSE FORMAT:
NOTE: Course hours may not be compressed into fewer than three days per credit. Any course compressed into fewer than six weeks must be approved by the college or school's curriculum council. Furthermore, any core course compressed to less than six weeks must be approved by the Core Review Committee. 
COURSE FORMAT: 
(check all that apply)	
	
1	
	
2	
	
3	
	
4	
	
5	
	
6 weeks to full semester	

OTHER FORMAT (specify)	

Mode of delivery (specify lecture, field trips, labs, etc)	

		

8. CONTACT HOURS PER WEEK:	
	
LECTURE
hours/weeks	
	
LAB
hours /week	
	
PRACTICUM
hours /week	

Note: # of credits are based on contact hours.  800 minutes of lecture=1 credit.  2400 minutes of lab in a science course=1 credit.  1600 minutes in non-science lab=1 credit.  2400-4800 minutes of practicum=1 credit.  2400-8000 minutes of internship=1 credit.  This must match with the syllabus. See http://www.uaf.edu/uafgov/faculty-senate/curriculum/course-degree-procedures-/guidelines-for-computing-/ for more information on number of credits.

OTHER HOURS (specify type)	

	

9. COMPLETE CATALOG DESCRIPTION including dept., number, title, credits, credit distribution, cross-listings and/or stacking (50 words or less if possible):
Example of a complete description: 
FISH F487 W, O	Fisheries Management
3 Credits	Offered Spring
Theory and practice of fisheries management, with an emphasis on strategies utilized for the management of freshwater and marine fisheries. Prerequisites: COMM F131X or COMM F141X; ENGL F111X; ENGL F211X or ENGL F213X; ENGL F414; FISH F425.  Cross-listed with NRM F487. (3+0)

	

10.  COURSE CLASSIFICATIONS: Undergraduate courses only. Consult with CLA Curriculum Council to apply S or H classification appropriately; otherwise leave fields blank.
H = Humanities 	
 	
S = Social Sciences 	

Will this course be used to fulfill a requirement 
for the baccalaureate core? If YES, attach form.	
YES:	
	
NO:	

IF YES, check which core requirements it could be used to fulfill:
O = Oral Intensive, Format 6 	
	
 W = Writing Intensive, Format 7 	
	
X = Baccalaureate Core	

11.  Is course content related to northern, arctic or circumpolar studies? 
YES	

	

12.  COURSE REPEATABILITY: 
Is this course repeatable for credit? If yes, fill out boxes below.	
YES	
	
NO	

Justification:  Indicate why the course can be repeated (for example, the course follows a different theme each time).	

	

How many times may the course be repeated for credit? 	

 TIMES	

If the course can be repeated for credit, what is the maximum number of credit hours that may be earned for this course?	
	
 CREDITS	

If the course can be repeated with variable credit, what is the maximum number of credit hours that may be earned for this course?	
	
 CREDITS	

13. GRADING SYSTEM:   Specify only one.  Note: Changing the grading system for a course later on constitutes a Major Course Change – Format 2 form.
LETTER:	
	
PASS/FAIL:	

	

RESTRICTIONS ON ENROLLMENT (if any)
14.  PREREQUISITES	

These will be required before the student is allowed to enroll in the course. 

15. SPECIAL RESTRICTIONS, CONDITIONS	

16. PROPOSED COURSE FEES	
$	

Has a memo been submitted through your dean to the Provost for fee approval?                                                                                                                                               Yes/No	

	

17. PREVIOUS HISTORY 
Has the course been offered as special topics or trial course previously?                                                                                                                       Yes/No	

If yes, give semester, year, course #, etc.:	

	

18. ESTIMATED IMPACT 
WHAT IMPACT, IF ANY, WILL THIS HAVE ON BUDGET, FACILITIES/SPACE, FACULTY, ETC.	

	

19. LIBRARY COLLECTIONS
Have you contacted the library collection development officer (kljensen@alaska.edu, 474-6695) with regard to the adequacy of library/media collections, equipment, and services available for the proposed course?  If so, give date of contact and resolution.  If not, explain why not.   
No	
	
Yes	

	

20. IMPACTS ON PROGRAMS/DEPTS
What programs/departments will be affected by this proposed action?
Include information on the Programs/Departments contacted (e.g., email, memo)	

	

21. POSITIVE AND NEGATIVE IMPACTS
Please specify positive and negative impacts on other courses, programs and departments resulting from the proposed action.	

	

JUSTIFICATION FOR ACTION REQUESTED
The purpose of the department and campus-wide curriculum committees is to scrutinize course change and new course applications to make sure that the quality of UAF education is not lowered as a result of the proposed change.  Please address this in your response.  This section needs to be self-explanatory.  Use as much space as needed to fully justify the proposed course.   

	

APPROVALS:  Add additional signature lines as needed.

Date	

Signature, Chair, Program/Department of:	

	
Date	

Signature, Chair, College/School Curriculum Council for:	

	
Date	

Signature, Dean, College/School of:	

Offerings above the level of approved programs must be approved in advance by the Provost.

Date	

Signature of Provost (if above level of approved programs)	

ALL SIGNATURES MUST BE OBTAINED PRIOR TO SUBMISSION TO THE GOVERNANCE OFFICE

Date	

Signature, Chair
Faculty Senate Review Committee:  ___Curriculum Review     ___GAAC    
               
                                  ___Core Review     ___SADAC

	

ADDITIONAL SIGNATURES: (As needed for cross-listing and/or stacking)

Date	

Signature, Chair, Program/Department of:	

	
Date	

Signature, Chair, College/School Curriculum Council for:	

	
Date	

Signature, Dean, College/School of:	

	

Attach complete syllabus (as part of this application). This list is online at: https://www.uaf.edu/uafgov/files/UAF-Fillable-Syllabus-Checklist.pdf