New Course or Course Change Request Form
Is this a new course or course change?
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New Course
Course Change
School Requesting Course
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Please Select
Cottonwood Elementary
Harwood Elementary
Jefferson Elementary
Midway Elementary
Roberts Elementary
South Fork Elementary
Farnsworth Middle School
Rigby Middle School
Jefferson High School
Rigby High School
Request Date
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Month
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Day
Year
Date
Requested by
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First Name
Last Name
Email
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example@example.com
Requested Course Name
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Requested Course Description
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Credit Value
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Grade Level
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Credit Type
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Please Select
Economics
Elective
English
Humanities
Math
Math(Senior)
Multimedia
Physical Education
Science
Speech
US Government
US History
Prerequisite Course
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How many trimesters does this course take to complete?
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Is this a vocational course?
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No
Yes
If Yes, what is the Vocational Course Code?
If this is a dual credit course
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No
Yes
If a dual credit course, what college will the credit be issued from:
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Boise State University
BYU - Idaho
BYU - Utah
College of Idaho
College of Southern Idaho
College of Western Idaho
Eastern Idaho Technical College
Idaho State University
Lewis-Clark State College
Northern Idaho College
Northwest Nazarene University
University of Idaho
Treasure Valley Community College
How many college credits is this course worth?
Background or rational for the course
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Budgeting and Staffing Implications
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Will this course require a new textbook?
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Yes
No
If yes, what textbook?
Will this course require a new software?
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Yes
No
If yes, what software?
Learning objectives
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State standards
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Course Syllabus: Please attach a course syllabus outlining the course and how it will be broken down over the trimester
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State Course Code
CIP Code
Certificate Needed
Endorsements Needed
HQT Requirement
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