PVCA 89
SOUTHERN ILLINOIS UNIVERSITY AT EDWARDSVILLE
Request to Implement an Experimental Course

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:

_______________________________________________________________________________________________
DISTRIBUTION:
        Director of Admissions and Records, Dean of College/School, Chairperson, Provost and Vice Chancellor.
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