We thank you in advance for submitting this course request form. Vic Liptak, the Dean of the College, and Sandy Britton, Dean of Student Success, will be reviewing your request. Although we cannot guarantee that the course you have requested will be offered, we will do our best to honor your request!

Please complete the questions below. Thank you.

* 1. What is your name?

* 2. What is your KCAD student id.number?

* 3. What is your phone number (be sure to include area code)?

* 4. What is the best email address to contact you at, if we have questions?

* 5. What is the name of the existing KCAD course that you would like to see offered, or what new course would you like to propose?

* 6. If you are proposing a new course, how many credits would you expect it to be?

* 7. When would you like this course to be offered (dates and times) this summer? (e.g., "I would like it to be in summer session 2 on weekday afternoons").

* 8. Please identify 7 of your classmates who have told you they would like to take this course if offered (please provide first and last name of each classmate):

* 9. Why are you requesting this course to be offered? How or why is it important to you?