COURSE CODE REQUEST FORM
2017-18 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, 2017

Spring Submission Deadline : June 15, 2018


Department consideration timeline:
Fall submissions - on or after November 1, 2017
Spring submissions - on or after June 18, 2018

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 JumpStart@la.gov

Date of Request
MM
/
DD
/
YYYY
Action Requested:
Course Title
Your answer
Maximum Course Credit
Maximum Class Size
Course Category
Course Description
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
What is the rationale for your request?
Your answer
Contact Information
Name
Your answer
Official Title
Your answer
LEA Affiliation
If selecting "Other", please provide LEA name below.
Your answer
Email Address
Your answer
Submit
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