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

Department

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?

If yes, enter the new Elective Course Name below.

Change to Elective Course Director?

If yes, enter the new Course Director below.

Faculty BCM ID must be provided.

Change to Elective Location?

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

Change to Prerequisite(s)?

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

Change to Course Description?

If yes, enter new Course Description below.

Change to Learning Objectives?

If yes, enter new Learning Objectives below.

Change to Learning Activities?

If yes, enter new Learning Activities below.

Change to Evaluation Method/Grading Rubric?

If yes, enter new Evaluation Method/Rubric below.

Change to Course Faculty?

If yes, enter new Course Faculty below.

Faculty BCM ID's must be provided.

Change to Course Coordinator?

If yes, enter the new Course Coordinator below.

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

Change in Resources?

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.

Change in When and Where to report on the First Day?

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

Date of Submission

mm/dd/yyyy

Meeting Dates

Will this course be active in AY2024-2025?

Start Term(s) of elective

Send me a copy of my responses

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