ࡱ> rtqb ,jbjb (th,,,,Dh=!"@b-<i ` b b b b b b ,_"R$ i ' '''` 'D<,` '':,T 4 , T !0=!& .G%'G%T 'hh,hh,MONTCLAIR STATE UNIVERSITY EXPERIENTIAL EDUCATION (EE) COURSE PROPOSAL NAME and PHONE NUMBER of individual submitting proposal:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       College/School:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Department:  FORMTEXT     FORMTEXT      FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       Current Course Number and Title:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Proposed Course Number and Title:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Check one:  FORMCHECKBOX  New Experiential Education (EE) Course Proposal  FORMCHECKBOX  Alteration to an Existing EE Course  FORMCHECKBOX  Alteration to an Existing Course to Become a EE Course  FORMCHECKBOX  Request for an Existing Course to Become a EE Course (no changes are being made to the existing course) Check one: Indicate the type of experiential education course you are submitting for review: [ ] Work-based learning courses (internships, cooperative education, externships and practica). These courses engage students in planned, educationally-related work and learning experiences that integrate knowledge and theory with practical application and skill development in a professional setting. The courses may vary by department as paid/unpaid; required/optional; required number of hours. [ ] Fieldwork or Field experience. A fieldwork or field experience course requires students to be actively engaged in empirical research, observation and/or performance of service in a professional setting beyond the classroom and/or laboratory to gain a better understanding of the course content. Students are required to perform this work as a course requirement. [ ] Service-Learning. A service-learning course is a credit-bearing education experience in which students participate in an organized community service activity that is integrated into the content of the course. The service activity meets identified community needs, and provides sufficient time for reflection in such a way that students gain a greater understanding of the course content and an enhanced sense of civic responsibility. EE Course Form, Page 2 10/2010 ATTACHMENTS: Complete the following items 1 though 4 and include them with this form. Note: Not all items will be applicable in all cases. Narrative answering all questions in Parts A through F of this form. A completed Proposal for New Course Form (Form E) or a Course Alteration Form (CCFR/Form G). The current course outline (a syllabus may not be submitted). The proposed course outline (if this is a new course or an alteration to an existing course). A. COURSE OVERVIEW. Discuss how the course is enhanced by the integration of this type of experiential learning. In what ways does the experience enhance learning? B. REFLECTION. Explain how reflection will be used to connect experiential and academic learning. 1. If this is a work-based learning course, provide examples of how students will reflect on and gain insight into their personal growth, professional development, and academic learning through their work-based learning experience. 2. If this is a field work course, indicate how observation and/or practice outside the classroom will enhance learning 3. If this is a service-learning course, provide examples of how students will reflect on and gain insight into their academic learning, personal growth and understanding of civic engagement. C. LEARNING ASSESSMENT. Explain how course learning objectives will be assessed. This might include formal evaluation tools as well as informal feedback from faculty and/or the organizational supervisor. D. COLLABORATION. Explain how the instructor will collaborate with the organizational/community partner(s). Include a description of how the instructor will: 1. Document and maintain a copy of all position descriptions. 2. Maintain communication with the site/direct supervisor at the work site and/or community organization. 3. Evaluate the appropriateness of the experiential education placement with regard to the learning objectives. EE Course Form, Page 3 10/2010 E. RISK MANAGEMENT/LIABILITY. Explain: 1. How the instructor will identify the organizational/community partners. 2. How the instructor will insure that the work/service placement is appropriate for the level of student preparation. 3. How the instructor will insure that the work/service placement has appropriate and adequate resources available for students to perform their jobs. 4. How the instructor will determine that the work/service placement is safe. 5. How the instructor will determine that the work/service placement is accessible. 6. What provisions have been made to provide the students with liability coverage while performing work/service duties at the work/service site. F. SITE SUPERVISION AND EVALUATION. Explain how the site supervisor/direct supervisor will: 1. Supervise and formally evaluate student performance. 2. Provide written feedback on student progress. G. ATTACH FORMS USED TO: 1. Evaluate student performance at the workplace or service site. 2. Provide student feedback on the quality of the workplace/service site experience. 3. Evaluate the impact of the experience on student learning. 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