CP Course Set Up Form

HQT Set Up Form

Used for setting up HQT CP Courses (for courses with Service Vendors, use Service PO).

For ES Use: email only after consulting with HQT

For Learning Center Use: (ESes do not set up LC courses, only set up by LC Coordinators)

Submit the completed form as an attachment to cwcs@connectingwaters.org (cc the HQT)

ESes, once notificed that the CP has been set up in FRED, enroll student in the course, remembering to mark the ES approval button.

HQT Summer School Funding Semester: First Second Third

Course Information:

Title: Grade Level Range:

Class Street Address:

Class City: County:

Course Type (select one): Reading/Writing Life Skills History

Political Process Mathematics Science Special Interest

Instructor: Instructor’s Phone: Instructor’s Email:

Knowledge (select one):

Volunteer experience in subject/work experience in subject <5 yrs

Work exp. 5 – 10 yrs in subject/Professional exp <10 yrs in subject/Teaching or training exp <10 yrs in subject

Prof exp.10+ yrs in subject/Teaching or training 10+ yrs in subject/Specialized training or recognized expert in subject

Training Level (select one):

No experience/<5 yrs experience

5 – 10 yrs experience

10+ yrs w/credential/degree or equivalent

Credential (select one):

Yes

Start Date: Last date to sign up: End Date:

Start time: Stop Time: Day(s) of the Week:

Minimum Class Size: Maximum Class Size: Number of Classes:

Materials used:

Facilities Name/address/phone

Proposed Per Student Per Class Rate (Daily Rate)/ Per Course Fee:

Any Extra Notes to be added: