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Name

Form Start Date

Form Type

Form Submitted Date

Form ID

Form Steps

Submitted on

Course prefix and number:

Course title

CIP (IPED)

College of

Department of

Date change is to be effective

Semester(s) offered

This cannot be altered. If you need to change this you must start a new form!

Is this Course Listed by name in a Program?

Yes

This cannot be altered. If you need to change this you must start a new form!

What research has led to this request?

What impact will this request have on existing academic programs?

What financial costs are associated with this request?

If NO change in cost is anticipated, how is this possible?

Any additional information

Approver's Position	Status	Note	Date	Note Type
Earnie Church (6)	denied	Form is denied per submitter request.	Sep 13, 2022	Old Note
(3)	approved		May 5, 2022	Old Note
Eugenia Hopper (2)	approved		May 5, 2022	Old Note
(1)	approved		Apr 7, 2022	Old Note