Course Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Course Request Form

Use this form to request a new course to be offered.

Term *

Example: Fall 2023.

Course Number *

Example: WR121

Course Section *

Course Title *

Trainer name *

Trainer email address *

Person responsible *

BMCC contact, ensures attendance is reported, etc.

Course Description *

BMCC Location *

Course Location *

(Building/Room/Offsite; please include address if offsite)

Course Start Date *

YYYY

Course End Date *

YYYY

Max number of students *

Section delivery method *

Total number of hours *

Schedule *

Example: Monday, Wednesday 9:00 AM-2:00 PM

Electronic registration form needed? *

Yes

Paper registration form needed? *

Yes

If you need a paper registration form, please explain why (no internet at workshop location, etc.)

Date course preparation needs to be completed by *

YYYY

Additional Information

(For internal use only)

Associated Fees *

Example: Non-Credit Tech Fee $9

Limited registration? *

Does this course need a document prerequisite? Only students with the document on file in their record will be able to register for the course.

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Blue Mountain Community College.

Does this form look suspicious? Report