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*Name of Person making Request:
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*E-mail Address:
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*Phone:
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*Academic Term:
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Special Meeting Dates --If not meeting entire term or session
Part of Term (if summer term):
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Beginning Date: Ending Date:
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*Summer Term Only-Provost/Designee has approved funding to add this course:
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*Department:
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*College:
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*Course Request Type:
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New Course - Added Section Change to Existing Course Section
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*Course # (include Prefix & Number):
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*Type of Course: (A course may be more than one. For instance, a video conferencing course off campus).
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Select all that apply by holding the Control Key and clicking on each one that applies:
If Off Campus, then list Location: |
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*Instructor Name:
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Last Name: First Name: MTSU ID:
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*Expected Enrollment:
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*Number of Credit Hours:
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*Days/Times of Class:
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Standard Meeting Days/Times First Meeting Days/Times: Other Days/Times:
Second Meeting Days/Times: Other Days/Times:
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*Does this course meet with another course?
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Yes, Course #: No |
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*Building Preference #1: *Building Preference #2:
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Room Preference:
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Alternate Room Preference:
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Equipment Needs:
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Select all that apply by holding the Control Key and clicking on each one that applies:
Other |
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Prerequisite/Registration Control Changes if different from 1D4, Item #8:
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*Permission of Department:
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Yes No |
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*Does the course have a topic?
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Yes No Topic Name: |
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*Does this course need a note posted on the web to assist students in registration?
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Yes No Note text: |
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Additional Information or Comments for Scheduler/Additional Equipment Needs
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