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

Name
Email address
Date

Format: mm-dd-yyyy

Has the Chair of the originating department approved this proposal/concept?
Yes
No
In progress

**All proposals must be approved by one's department Chair before proceeding.

Program details

Title of proposed program/course
Department 
Cross listing subject (if any)
Type
Audience
Credit hours
Course rotation
Effective start term
List any required pre-requisites

Will the program/course require new resources (e.g., lab space, technologies) and if so how will they be acquired?
Yes
No

Name of instructor(s) who will offer course(s)

Description

Program/course description

Indicate any programs at the University that are similar and illustrate how they may overlap and/or differ

What comparable programs, if any, exist at other reputable colleges and universities?

Explain why this program/course should be offered at this time