Academic Space Request for Academic Courses

This form must be submitted by academic departments and will automatically be sent to the appropriate staff member in the Scheduling Center. Required items are marked with asterisks (*).

*Name of Person making Request:
*E-mail Address:
*Phone:
*Academic Term:

Special Meeting Dates --If not meeting entire term or session

Part of Term (if summer term):

Beginning Date:
Ending Date:

*Summer Term Only-Provost/Designee has approved funding to add this course:
*Department:
*College:
*Course Request Type:

New Course - Added Section
Change to Existing Course Section

*Course # (include Prefix & Number):
*Type of Course:
(A course may be more than one. For instance, a video conferencing course off campus).
Select all that apply by holding the Control Key and clicking on each one that applies:

If Off Campus, then list Location:
*Instructor Name:

Last Name:
First Name:
MTSU ID:

*Expected Enrollment:
*Number of Credit Hours:
*Days/Times of Class:
Standard Meeting Days/Times
First Meeting Days/Times:
 
Other Days/Times: 

Second Meeting Days/Times: 
Other Days/Times: 

*Does this course meet with another course?
Yes, Course #:
No
*Building Preference #1:
*Building Preference #2:

Room Preference:
Alternate Room Preference:
Equipment Needs:
Select all that apply by holding the Control Key and clicking on each one that applies:

Other 
               
Prerequisite/Registration Control Changes if different from 1D4, Item #8:
*Permission of Department:
Yes
No
*Does the course have a topic?
Yes
No
Topic Name: 
*Does this course need a note posted on the web to assist students in registration?
Yes
No
Note text: 
Additional Information or Comments for Scheduler/Additional Equipment Needs