SREB Course Request Form

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SREB Electronic Campus Course Request

For more information, please call Michael Bowman at 870-972-2532.

(*) denotes required information.

* Course Title:
* Course Number:
* Number of Credits:
* Instructor:
* E-mail Address:
*Program of Study:
* Please list name of degree program (degree title):
* Is the degree program currently offered online?
Yes No

* Course Description:

 

* Degree Level:

Undergraduate Graduate


Prerequisites:

 

* Term:
* Year:
* Enrollment Capacity:
* Indicate the primary delivery mode that will be used:
Other modes of interaction:
Other:
* Course Textbook:

 

List any supplementary delivery formats that will be used:

Special enrollment issues (special software or equipment, Internet access, etc.):
Special attendance requirements (on-campus requirement, exams taken at a degree center, etc.):
Access to learning resources:
Other considerations (exams, term papers, etc.):