AC 17-2 FORM
CE-002 / Qatar University
Curriculum Enhancement
Replace a Course Request Form
 This form must be completed to request the REPLACEMENT of an existing course
 Incomplete requests will not be processed – Please complete all fields in Section 1 and join required documents
 The approval of the Vice President for Academic Affairs is a prerequisite for the REPLACEMENT of a course
 An approved new course shall take effect at the beginning of the next academic year
 A detailed course syllabus of the existing course and proposed replacement course as well as the updated curriculum map must be joined with this form
 Upon approval of the request, make sure that the course is replaced in Banner/CAPP and that the Online Assessment System (OAS) is updated accordingly
Section 1: Requester (Complete 1 to 26)
The College: ______
The Department: ______
The Program/Major: ______
Contact Person: ______Proposed Effective Term: ______
  1. Course Subject, Number and Language of Instruction of the existing course:
Example: / E / N / G / L / 1 / 0 / 0
Requested Course
Specify Language of Instruction for Course:
Arabic English
Course is Part of Core Curriculum Program? Yes No
  1. Course Title (English- must not exceed 30 characters):
  2. Course Title (Arabic - must not exceed 30 characters):
  3. Credit Hours: Sequence Offering: Fall / Spring / Fall & Spring (please circle one)
  4. Lecture Contact Hours: Lab Contact Hours (if Any)
  5. Course Package (Major Requirements / Major Electives / ...): ______
  6. Course Level:
: Foundation (FN) :Bridge (BR) :Undergraduate (UG) :Diploma (DP) : Master (MA)
: Certificate (CR) : PhD (DC) : PharmD (DR)
  1. Grade Mode:: Standard Letter Grade ( A – F ): Pass / Fail
  2. Course Designation:
Lecture (LC) Laboratory (LB) Lecture/Lab (LL/LC+LB) Seminar (SM) Thesis (TH)
Senior Project (SP) Internship(IN) Independent Study (IS) Field Work (FW) Preceptorship (PR)
Studio Work (SW) Practicum and Student Teaching (ST) Clinical Practice (CL)
  1. Is this course associated with another credit bearing course (lecture and associated laboratory courses)?
No Yes(If Yes, Associated Course Subject and Number: )
Course Catalogue Description (English and Arabic, must not exceed 80 words): _____
_____
_____
_____
  1. Does this course have any registration restrictions?
: No: Yes (If Yes, Please provide restriction details in the table below )
College / Include / Exclude: ______
Major / Include / Exclude: ______
Level / Include / Exclude: ______
Campus / Include / Exclude: ______
Class / Include / Exclude: ______
Degree / Include / Exclude: ______
Program / Include / Exclude: ______
Concentration / Include / Exclude: ______
  1. Course Prerequisites / Co-requisites / Equivalencies (if any):
Prerequisites (If Any) / Co-Requisites (If Any) / Equivalencies (if Any)
______
______/ ______
______/ ______
______
  1. Course Subject, Number and Language of Instruction of the new replacement course:
Is the replacement course a new course or an existing course? If yes, please specify the program offering this course.
Example: / E / N / G / L / 1 / 0 / 0
Requested Course
Specify Language of Instruction for Course:
Arabic English
  1. Course Title (English- must not exceed 30 characters):
  2. Course Title (Arabic - must not exceed 30 characters):
  3. Credit Hours: Sequence Offering: Fall / Spring / Fall & Spring (please circle one)
  4. Lecture Contact Hours: Lab Contact Hours (if Any)
  5. Course Package (Major Requirements / Major Elective / ...): ______
  6. Course Level:
: Foundation (FN) :Bridge (BR) :Undergraduate (UG) :Diploma (DP) : Master (MA)
: Certificate (CR) : PhD (DC) : PharmD (DR
  1. Grade Mode:: Standard Letter Grade ( A – F ): Pass / Fail
  2. Course Designation:
Lecture (LC) Laboratory (LB) Lecture/Lab (LL/LC+LB) Seminar (SM) Thesis (TH)
Senior Project (SP) Internship(IN) Independent Study (IS) Field Work (FW) Preceptorship (PR)
Studio Work (SW) Practicum and Student Teaching (ST) Clinical Practice (CL)
  1. Is this course associated with another credit bearing course (lecture and associated laboratory courses)?
No Yes(If Yes, Associated Course Subject and Number: )
Course Catalogue Description (English and Arabic, must not exceed 80 words): _____
_____
_____
_____
  1. Does this course have any registration restrictions?
: No: Yes (If Yes, Please provide restriction details in the table below )
College / Include / Exclude: ______
Major / Include / Exclude: ______
Level / Include / Exclude: ______
Campus / Include / Exclude: ______
Class / Include / Exclude: ______
Degree / Include / Exclude: ______
Program / Include / Exclude: ______
Concentration / Include / Exclude: ______
  1. Course Prerequisites / Co-requisites / Equivalencies (if any):
Prerequisites (If Any) / Co-Requisites (If Any) / Equivalencies (if Any)
______
______/ ______
______/ ______
______
Section 2: Department / Program Curriculum Committee
  1. Does the proposed addition of the new course have any impact on other programs or enrolled students?
: NO (Go to Item 3 below) : YES (If Yes, Complete Table below)
List of Impacted Programs (If Any) / Number and Type of Impacted Students
______
______/ ______
______
  1. Measures to resolve impact related Issues: ______
______
  1. The Department / Program Curriculum Committee’s Recommendation
Approve Conditional Approval Reject
  1. Comments (if any): ______
______
Date of Submission to Department Head / Program Director: ______
Section 3: Department Head / Program Director
The Department Head’s / Program Director's Decision:
: Approve : Reject
Date: Signature:
Section 4: College Curriculum Committee
  1. The College Curriculum Committee’s Recommendations:
Approve Conditional Approval Reject
  1. Comments (if any): ______
______
Date of Submission to College Dean:
Section 5: College Dean
The College Deans’ Decision:
: Approve : Reject
Date: Signature:
Section 6: University Curriculum Committee
  1. The University Curriculum Committee’s Recommendation:
Approve Conditional Approval Reject
  1. Comments (if any): ______
______
Date of Submission to VP&CAO: ______
Section 7: Vice President for Academic Affairs
The Vice President for Academic Affairs’ Decision:
: Approve : Reject
Date: Signature:
For Registrar Use and Feedback
Implementation Date: ______ / Effective Term: ______
Comments and Feedback (if any): ______
______
______

Qatar University

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