The numbers reserved for experimental courses in all departments
are 199X, 299X, and 399X (experimental courses are
not offered at the graduate level).  No more than
one experimental course at a time may be offered by a department at each
of the three levels.  The maximum experimental period
is one full year.  Continuation of a course beyond the experimental
year requires submission of a Form 90A.  Unless
such form is processed, dropping of a course will occur automatically at
the end of the experimental period.
1. COURSE: (Department) _________________________(Number)____________________(Hours)_____________
(Full Course Title)______________________________________________________________________________
 2.  DESCRIPTION:
 
 3.  REASON FOR REQUEST: (Attach syllabus and
other supporting papers as appropriate.)
 
4. COURSE TAUGHT BY:_________________________________________________________________________
5. DESIRED EFFECTIVE DATE: ___________________________________________(Semester), 19_____________
 6.  WITH WHAT ACADEMIC UNITS HAS THIS COURSE
BEEN COLLATED?
 
| 7. REVIEWED BY: | Date: | 
a. Department Chairperson ______________________________________________________________________
b. School Curriculum Committee __________________________________________________________________
c. Dean of College/School _______________________________________________________________________
d. Curriculum Council __________________________________________________________________________
       e.   Provost
and Vice Chancellor ___________________________________________________________________
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ACTION RECORDED IN OFFICE OF ADMISSIONS AND RECORDS: