COURSE CODE REQUEST FORM
Submission Timeline
Course code requests are processed using an online submission portal. Requests for new course codes will be accepted twice annually as outlined below:

Fall Submission Deadline: November 1, 2018
Spring Submission Deadline : May 1, 2019


Department consideration timeline:
Fall submissions - December 2018
Spring submissions - June 2019

Following Department review, notification of the status for each request will be delivered, via email, to the LEA contact initiating such request.

For more information, contact stephanie.marcum@la.gov.

For a submission to be considered for a new code, it must meet one of the below criteria. Please check all that apply. *
Required
Date of Request *
MM
/
DD
/
YYYY
Contact Information *
Name
Your answer
*
Official Title
Your answer
*
LEA Affiliation
If selecting "Other", please provide LEA name below.
Your answer
*
School Affiliation. If no school affiliation, please respond with N/A.
Your answer
*
Email Address
Your answer
Action Requested: *
Course Title *
Your answer
Maximum Course Credit *
Maximum Class Size *
Course Category *
Course Description *
Your answer
What is the rationale for your request? *
Your answer
Credentials *
List area(s) of regular teacher certification. (N/A if not applicable)
Your answer
*
List area(s) of CTTIE teacher certification. (N/A if not applicable)
Your answer
*
Is an Industry Based Credential (IBC) required for teacher certification?
*
List the required Industry Based Credential (IBC); (N/A if not applicable)
Your answer
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