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Request Form to Create a New Course

Shell
(One request form per course)

Course Information:
Course Title:

Dept. and Course No.: (e.g., MUS 391):

Section[s] (e.g., A, C, VA, VB):

Contact Information:

Name of Instructor(s):

Phone Number:

E-mail address(es) (to enroll instructor in class):

Course Shell:

Title to Use for Course Shell:

Date You Need Course Shell to be Available:

First Semester Intended to be Offered:

Special Instructions:

Date of Application:

Internal Use Only

Date Course Shell Created:

Identifier:

11/19/12