ࡱ> _ %bjbj 4jA\jA\\  8L Xs(     " " ,"rrrrrrr$twr#d  "##r  Xr'''#  r'#r''ihn 6O$k8srr0sk8x>%08xpn8xn4">r",'"$"$4"4"4"rrn&4"4"4"s####8x4"4"4"4"4"4"4"4"4" > V:  INSTRUCTIONS: This form must be completed for additions of all undergraduate courses, as well as changes to existing course prefixes, numbers, titles, and/or credits. In addition, this form is to be used for transfer status reviews. The form requires sign-off by the institutional curriculum committee chair. The course syllabus or course outline and the course description for a new or revised course must be attached. Course Deletions: As of July 1, 2014, a separate form is provided for course deletions. This form is no longer applicable. Course deletions do not require review by other NSHE institutions. Additions or changes submitted with this form may not be reflected in class schedules or catalogs until this form has been completed, submitted to System Administration, and the institution has received notification that the form has been accepted. SUBMITTING (ORIGINATING) INSTITUTION CONTACT INFORMATION (for institution requesting course approval) Ĵý January 15, 2016 Institution: Date: Curriculum Committee Chair: Signature indicates approval: _______________________________________________ Date: ____________________________ Signature of Curriculum Committee Chair John Patrick Rice, Ph.D. 775-753-2240 Contact Person: Phone #: (Name of individual submitting this form) john.rice@gbcnv.edu John Patrick Rice E-mail address: _____________________  Signature (type name if e-mailing) 1) In the boxes below, enter the new or changed course information for the course under review: Prefix Course # Course Title Credits If this review proposes a change to an existing course, enter the information from the existing course: Prefix Course # Course Title Credits  Does your institution want this course to be transferrable? Yes [ X ] No [ ] N/A [ ] Check the appropriate box below for the addition of a new course or change to existing course prefix, number and/or title:  FORMCHECKBOX  Discipline or prefix is found in the CCN master file, however both course # and title are not (if you check this box, skip to question 4)  FORMCHECKBOX  Discipline or prefix is NOT found in the CCN master file This discipline is unique to your institution or it has not been common course numbered previously. (if you check this box, skip to question 4)  FORMCHECKBOX  Discipline or prefix is found in the CCN master file; either course # or course title is also found in the CCN master file. Another institution already offers this course; course # and title must be identical with existing course. (if you check this box, skip to question 5) Is this a new course proposed by a community college that requires a transfer status review by the universities and state college? (Community colleges may utilize a B suffix for course numbers to alert students that the course may be non-transferable for a baccalaureate degree. [Title 4, Chapter 14, Section 16].) Yes [x ] No [ ] If Yes, this section must be completed by university and state college registrars: Course Transfer Status Board of Regents Policy, Title 4, Ch. 14, Section 16 provides that the B designator may be used for courses designated non-transferable from a community college to a university or state college. The universities or state college, as applicable, must provide written justification for all courses determined to be non-transferable. A course approved for transfer at one university will automatically count as elective at the other university. UNLV Evaluation Non-transferable Elective Equivalent ____________________ Course prefix & number Approval (Print Name & Title) Signature (type name if e-mailing) Date  UNR Evaluation Non-transferable Elective Equivalent _____________________ Course prefix & number Approval (Print Name & Title) Signature (type name if e-mailing) Date  NSC Evaluation Non-transferable Elective Equivalent _____________________ Course prefix & number Approval (Print Name & Title) Signature (type name if e-mailing) Date  In order for a course to be assigned a common course number, all institutions that offer the discipline in which the proposed course resides must agree that at least 80% of the content of the proposed course is common based on a review of current and pending courses within the NSHE. Every institution must be contacted. In the space provided below, record the contact name at each institution, date of contact and review status in the spaces provided. The point of contact noted below must be the academic administrator over the discipline at each institution or the registrar or institutional designee if there is no academic administrator for the discipline. Under the Agree column, a yes indicates that the respective contact person reviewed the course content and agrees that it is at least 80 percent common and may receive a common course number. A No indicates that at least 80 percent of the course content is not common at the reviewing institution. An NA indicates the discipline is not offered at the institution. Any form submitted with one or more Nos will be referred to the System-wide Discipline Committee for review. Institutional Contact List (tracking responses via e-mail is recommended) Institution Campus Contact Name & Phone Number E-Mail Address Date Agree UNLV ___Alejandro Chacon________________ _alejandro.chacon@unlv.edu___ ___________ Yes/ No / NA UNR _Melisa Choroszy__________________ _choroszy@unr.edu_________ ___________ Yes / No / NA NSC __Adelfa Sullivan______________________ __adelfa.sullivan@nsc.edu_____ ___________ Yes / No / NA CSN ____Pat Zozaya____________________ pat.zozaya@csn.edu________ ___________ Yes / No / NA GBC __Janice King________________________ __janice.king@gbcnv.edu______ ___________ Yes / No / NA TMCC __Andy Hughes________________________ __ahughes@tmcc.edu________ ___________ Yes / No / NA WNC _Dianne Hillard________________________ ___dianne.hillard@wnc.edu____ ___________ Yes / No / NA Note: If a response is not received from an institutional contact within 10 business days of submitting a request, please circle the name of the institution and response will be assumed to be yes. [Not applicable May 15 Aug. 15, Dec.15 Jan. 20] If you have any questions regarding common course numbering procedures or the completion of this form, contact Janet Stake (janet_stake@nshe.nevada.edu) at System Administration (Phone: 775-784-3445; Fax: 775-784-1127). Completed forms may be mailed, emailed, or faxed to Janet Stake at: Academic and Student Affairs 2601 Enterprise Road Reno, Nevada 89512     Common Course Numbering Additions and Changes Form v. 20 Nevada System of Higher Education Department of Academic and Student Affairs (Effective July 1, 2014) Rvsd. August 2014 CCNAC - Common Course Numbering Additions and Changes Form (official copy) V 20 3 Theatre Technolgoy I THTR 204 System Use Only: Date Received: All Criteria Met? 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