Elective Update Form

Elective Update Form

Please use this form for electives which are already approved/established for which you are requesting a change, such as a new elective course director. Once changes are approved by the Electives Subcommittee and the Curriculum Committee, they will be sent to the Office of the Registrar to update the Course Catalog description, as needed.

Elective Type*

Select

Department*

Select

Elective Course Number*

I.E. MEFAM-535

Elective Course Name*

I.E. Community Project in Underserved Care

Elective Director*

Faculty BCM ID must be provided.

Change to Elective Course Name?*

Select

If yes, enter the new Elective Course Name below.

Change to Elective Course Director?*

Select

If yes, enter the new Course Director below.

Faculty BCM ID must be provided.

Change to Elective Location?*

Select

If yes, enter the new Elective Location(s) below.

Change to Prerequisite(s)?

Select

If yes, enter the new Prequisite(s) below.

Change to Course Description?*

Select

If yes, enter new Course Description below.

Change to Learning Objectives?*

Select

If yes, enter new Learning Objectives below.

Change to Learning Activities?*

Select

If yes, enter new Learning Activities below.

Change to Evaluation Method/Grading Rubric?*

Select

If yes, enter new Evaluation Method/Rubric below.

Change to Course Faculty?*

Select

If yes, enter new Course Faculty below.

Faculty BCM ID's must be provided.

Change to Course Coordinator?

Select

If yes, enter the new Course Coordinator below.

New Course Coordinator's name and email address are required.

Change in Resources?*

Select

If yes, enter Resources needed below.

Please list the resources needed for this elective.

I.E. Room/Space, Equipment (AV, computers, etc.), Supplies, Fees, SIM Lab or equipment, Standardized Patient utilization, etc.

Please indicate whether these changes have been discussed with the DLEO.

Date of Submission

Meeting Dates

Will this course be active in AY2024-2025?

Select

Start Term(s) of elective

Select

Send me a copy of my responses

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