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LCOM Program Proposal Form

This form is for members of the Robert Larner, M.D. College of Medicine community to propose course and program ideas.
There are 19 questions in this survey.
Contact Information
(This question is mandatory)
Name
(This question is mandatory)
Email address
(This question is mandatory)
Date
Open date/time selector
(This question is mandatory)
Has the Chair of the originating department approved this proposal/concept?
**All proposals must be approved by one's department Chair before proceeding.
Program details
(This question is mandatory)
Title of proposed program/course
(This question is mandatory)
Department 
Cross listing subject (if any)
(This question is mandatory)
Type
(This question is mandatory)
Audience
(This question is mandatory)
Credit hours
(This question is mandatory)
Course rotation
Effective start term
List any required pre-requisites
(This question is mandatory)
Will the program/course require new resources (e.g., lab space, technologies) and if so how will they be acquired?
(This question is mandatory)
Name of instructor(s) who will offer course(s)
Description
(This question is mandatory)
Program/course description
(This question is mandatory)
Indicate any programs at the University that are similar and illustrate how they may overlap and/or differ
(This question is mandatory)
What comparable programs, if any, exist at other reputable colleges and universities?
(This question is mandatory)
Explain why this program/course should be offered at this time