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Course Request Form: AMS Support Office (Campus zip 5604) Call 335-6518 with questions AMS no longer facilitates textbook orders for classes via videoconference.
Term (please indicate): Summer 2012Fall 2012 Spring 2013Summer 2013 Please indicate term Course prefix: A S Acctg Adver AFS Ag Ed Agri AgTM Am St AMT Anth Arabc Arch Asia Astr Ath T B A B E B Law Bdcst Biol BSysE C E CES Ch E Chem Chin Clas Com ComSt CoPsy Cpt S Crm J CropS CRS CS Cst M Desgn DisSt DTC E A E E E M E Mic ECE EconS Ed Ad EdPsy EdRes Engl Engr Entom Entrp ES/RP F A Fin For L Fren FS FSHN GenEd GenSt Geol Ger H D HBM HF Hist Hort HPA Hum I Bus I D IPM ISE Ital Japn Jour L A Lib A M E Mat S Math MBioS Mech Med S MgtOp Mil S MIS Mktg MPS MSE Mus MvtSt N S NATRS NEP Neuro NSE Nurs P R P/T PEACT PharD PharS Phil Phys Pl P Pol S Psych Rus Sci SHS Soc SoilS Sp Ed Span SpMgt Stat T & L Theat U H UCOLL Univ V E V M V Mic V MS V Pa V Ph W St Course number: Is course cross listed/conjoined? YesNo Course title: Day(s) : MTuWThFSaSu First Class Meeting Date: January February March April May June July August September October November December Choose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2012 2013 Last Class Meeting Date: January February March April May June July August September October November December Choose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2012 2013 Starting Time: 1 2 3 4 5 6 7 8 9 10 11 12 Choose  : 00 05 10 15 20 25 30 35 40 45 50 55 ampm Ending Time: 1 2 3 4 5 6 7 8 9 10 11 12 Choose  : 00 05 10 15 20 25 30 35 40 45 50 55 ampm Primary Origination Site: Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus Other ----> This course will originate from a departmental classroom using a departmental system. Yes No Credit hours: Requester Name: Requester Phone: Requester Email: Instructor Name: Instructor Phone: Instructor Email: Contact Person: Contact Phone: Contact Email: Will course be videostreamed? YesNo Financial Arrangements: Remarks:
For the origination site and each destination site, please provide the number of students. Sites Please Check All Sites Involved # of students Campus to which student FTE's are assigned Schedule Line Number Section Footnote Site Code Pullman N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Spokane N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Tri-Cities N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Vancouver N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Walla Walla N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Yakima Nursing N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Puyallup N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Mt. Vernon N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP Other Sites N/A Pullman Campus Spokane Campus Tri-Cities Campus Vancouver Campus DDP
The online CRF should be submitted to Academic Media Services upon completion by the department. Academic Media Services will review the form, and then send it to be electronically signed by the appropriate person. It should then be electronically sent back to Academic Media Services. Academic Media Services will next distribute the completed form to the designated person at each site for acceptance/changes and electronic signature.

Academic Media Services, PO Box 645604, Washington State University, Pullman WA 99164-5604, 509-335-4535, Contact Us