New Elective Proposal Form for Years 1 & 2

Department:    

Course Title:    

Course Director:    

College of Medicine faculty? Yes No

Contact:  Phone: Email:

Additional Faculty:

Location where offering is made available:  
Address:
 


Will this offering be videoconferenced between Tucson & Phoenix?
YesNo
     if yes, to make arrangements  Contact Rick Collins @ 626-7343
       

Format (please choose one):
          if classroom based
  :  Days offered:          Times:

Periods offered by length of elective (please mark all that apply):      

  Year-round        
                OR                                    
                                               

  6-week 

 4-week

 3-week 

Enrollment:     Maximum Minimum
                                                                          

Prerequisites:  

Course Description