Schedule Change Request

The initiator of the schedule change should complete the form below which will be delivered to a designated representative of the corresponding school for approval. On approval the form will be automatically sent to the Registrar’s Office, Human Resources, the Bookstore, the Provost Office, and the OCDE; if applicable. Fields marked with red indicate they are required and must be completed.

Initiator's Name Initiator's Name * First Last
Initiator's Concordia Email *
Additional Email Notification

An optional email address to be notified of this change (i.e. tracking instructor’s teaching credits across different schools).
Corresponding School *

The academic school who owns the course.
Request Type *
Account# (i.e. 57150T) *
Current Course Information

Enter information for an existing course/section already in Banner.
New Course Information

Enter information for new courses/sections to be added to the Banner system.
Campus *

NOTE: "Wisconsin" and "Ann Arbor" should be selected for face-to-face, non-center courses only.
Academic Year (i.e. 2020-2021) *

Ensure the academic year corresponds with the course start/end dates.
Term *
Course Type *
Online Course
CRN *
Course Subject and Number (MSN 400, ART 110...) *
Course Title *
Does this course meet consecutively week-to-week? *
What are the dates, start times, and end times for each class? *

For example: 11/17: 7pm-8pm, 12/01: 10am-3pm, 12/20: 9am-5pm.
Course Start Date Course Start Date * / MM / DD YYYY
Course End Date Course End Date * / MM / DD YYYY
Is current instructor full-time faculty? *
Program Director *
Credits *
Pay Rate Category *
Other Pay Rate *
Course Changes

Enter requested change information for an existing course/section already in Banner.
New Course Details

Enter information for new courses/sections to be added to the Banner system.
Required Changes (select all that apply) *

Required Changes (select all that apply) Day(s) of Week / Time(s) Start/End Date Instructor Max Enrollment Billing / Tuition Special Fees Location Video Conference Other (leave instruction in comments field below)
Does the course have a set meeting time? *
Days of Week *

Days of Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday Alt Day/Time
Start Time Start Time * : HH MM AM/PM
End Time End Time * : HH MM AM/PM
Alt Days of Week *

Alt Days of Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday Alt Day/Time
Alt Start Time Alt Start Time * : HH MM AM/PM
Alt End Time Alt End Time * : HH MM AM/PM
Alt Days of Week #2 *

Alt Days of Week #2 Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Alt Start Time Two #2 Alt Start Time Two #2 * : HH MM AM/PM
Alt End Time Two #2 Alt End Time Two #2 * : HH MM AM/PM
Will this course meet consecutively week-to-week? *
Course Start Date Course Start Date * / MM / DD YYYY
Course End Date Course End Date * / MM / DD YYYY
What are the dates, start times, and end times for each class? *

For example: 11/17: 7pm-8pm, 12/01: 10am-3pm, 12/20: 9am-5pm.
Has an instructor been assigned to this course? *
Instructor's Name Instructor's Name * First Last
Instructor's F00# *
Must be between 6 and 9 characters. Currently Entered: 0 characters.
Is this course co-taught? *
Second Instructor's Name Second Instructor's Name * First Last
Second Instructor's F00# *
Must be between 6 and 9 characters. Currently Entered: 0 characters.
Second Instructor's Percent of Responsibility *
Must be between 1 and 3 characters. Currently Entered: 0 characters.
Max Enrollment *
Billing Cycle
Billing / Tuition
Special Fees
Location (home campus, physical location of course) *
Other Location *
Video Conference Host Location *
Other Video Conference Host Location *
Video Conference Viewing Location(s) *

Video Conference Viewing Location(s) Ann Arbor (J) Appleton (A) Beloit (B) Green Bay (G) Kenosha (K) Madison (M) Mequon (F) Miller Park (H) Midtown (P) Other (off-campus, China, highschool) Other (off-campus, China, highschool)
Comments

Will the course include video conferencing? Will it meet at unique times, dates, locations? Does the course include a lab?

Schedule Change Request

Schedule Change Request

Current Course Information

New Course Information

Course Changes

New Course Details