Purdue Northwest Curriculum Document Coversheet Approval by Document No: Faculty Senate: (According to s) (Leave Blank) Date Reviewed by Senate Curriculum Proposed Effective Date Committee: blank) Name(s) of Submitting Department: Library Staff Consulted: (Name of both Dept & College/School ) (NA if not required) Date Reviewed by Department Submission Date: Will New Library Yes No (Date sent to College/School Resources Used? Double-click to check Yes / No. Curr Comm Dept Review) Form 40 Needed? Yes New courses or any course Date Reviewed by (Double-click one box.) change, check YES College/School Registrar will complete No For all other curriculum Curriculum Committee Form 40 Senate matters, check NO. approval of document. Contact Person(s): (Name & Unless marked blank” all parts of this form must be filled in before sending to Secretary of the “Leave 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 if proposal will not greatly affect students.) “N/A” Impact on University Resources. (State if proposal will not require new resources, faculty or funds.) “N/A”
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.)
curriculum-document-submission-form.docx