For full consideration, deadline for submission of this form to the Office of Academic Affairs: Monday, February 10, 2014. Please submit a separate form for each adjunct/overload taught course (multiple sections per form allowed). Department Chair Name * Department and Course Number * E-Mail Address * Course Title * Number of Sections Requested * Instructor (if known) Total # of sections of courses at the level(100-400)of the proposed course to be offered in F2014, including this section(s)? Total number of sections of THIS course (same number) to be offered by the dept./prog. in Fall 2014, including this section(s)? Please briefly describe the department's/program's reasons for requesting this course: Please include information on: staffing issues created by course releases, department FYP staffing, sabbatical and FYP leaves, etc.; students served and/or purposes of the course in the university and department curriculum; any other special circumstances or information leading to this request.