Course Proposal Form

Benerd College has a vision to be the most trusted and agile partner for meeting diverse educational needs. This is accomplished by embodying our mission to develop human potential by providing transformative learning experiences. Part of this work is listening to our community to identify needs and collaborate to meet those needs. This call for proposals of new programs and/or courses is meant to contribute to that vision and mission.

Please submit the following information as complete as possible to propose a new course or program for Benerd College Professional and Continuing Education. Should you have any questions or comments, please contact us right away at continuinged@pacific.edu

Course Title: *

Instructor First Name: *

Instructor Last Name *

Pacific ID (if applicable):

Street Address

Address Line 2

City

State *

Zip Code

Phone Number *

Email Address *

Are you a Pacific Faculty Member? *

Yes

No

If yes, what department/school?

Please upload the instructor CV here *

New or Repeat Course? *

Are you seeking a development grant for this proposal? *

The information below is needed before we can approve and launch a new course/proposal. If you have this information ready, please feel free to add and submit. However, if you are not quite there yet, we encourage you to schedule a development consultation here or by emailing continuinged@pacific.edu.

This form is able to be saved and accessed later for updates to the submission.

Preferred Schedule for Course

	1st Choice	2nd Choice
Day(s) Sun-Sat	1st Choice	2nd Choice
Date(s)	1st Choice	2nd Choice
Start time	1st Choice	2nd Choice
End time	1st Choice	2nd Choice

CPCE will make every attempt to schedule your class on your 1st choice; however, please make sure that you are available for ALLdates/times for BOTH choices until we have finalized your schedule.

Type and quantity of units applicable to this course 🛈

	Number of units
Extension/Academic units	Number of units
Continuing Education units	Number of units
Certificate Courses	Number of units
Professional Development units	Number of units
Degree Completion	Number of units

Units Explanations

• Extension Academic Units: One extension unit: 15 contract hours, excluding breaks and meal hour. Extension courses are Academic units graded on a Pass/No Pass basis unless other arrangements are made. Upon approval by an academic advisor, these units may be applicable towards a degree.

• Continuing Education Units: One continuing education unit = 10 contact hours, excluding breaks and meal hour. CEUs are considered undergraduate level units, they are not academic units and are not applicable to a degree at Pacific, but may be used to satisfy requirements of a certification or license held in a field of profession.

• Professional Development Units: One unit of professional development credit = 15 hours of study. Professional development units are graduate-level units designed to meet the needs of educators and professionals for advancement. Units are transcripted, but not applicable to a degree at Pacific.

Grading Option

More information about the course 🛈

	Input value below
Enrollment Minimum:	Input value below
Enrollment Maximum:	Input value below
Material Fees (supplies/copying):	Input value below
Tuition Proposed:	Input value below
Tuition Course Fee Final:	Input value below
Full Certificate Price:	Input value below
Individual Course Price:	Input value below

Class Notes:

The space below is provided for you to make notes regarding your class for the course description, behavioral/learning outcomes, instructor biography, market or any other information that needs to be provided.

In order to streamline processing you proposal, you will need to attach the following items:

1.Course syllabus or outline (formal syllabus required before class begins)
2.Behavioral objectives/learning outcomes of the course
3.Course description (90 words or less)
4.Marketing information (who is the target market for your course?)
5.Course materials you plan on giving to the class (pre-approval required)
6.Classroom needs/ preferences (including audio-visual equipment)
7.Textbook information

Please attach the proposed syllabus as complete as possible.

Classroom Needs/Preferences (if applicable)

Specific Room Request

Set-Up Needed

Audio/Visual Equipment needed. (If yes, type what below)

Yes

No No

Duplicating/Printing Required for course? (if yes, please indicate how many pages)

Yes

No No

Textbook Needed for the Course? (if yes, please indicate if it is required or recommended)

Yes

No No

Textbook information

	Insert requested information below
Book Title	Insert requested information below
Author	Insert requested information below
Publisher	Insert requested information below
ISBN	Insert requested information below
Approximate price	Insert requested information below

By submitting, I am indicating that I have read, understand, and agree to abide by the policies issued by the University of the Pacific and Benerd College.