Non-Credit Instruction and Training Notification

Questions marked with a * are required
Institution/Location
Site Address or Site Code
Contact Information
First Name
Last Name
Email Address
Phone Number
Program Information
Proposed Program/Training to be Offered
Course or Program Name
Brief Description of the Program/Course
Maximum Seat Capacity
Training Start Date
Number of Contact Hours
Assessment Type
Assessment Type
Expected date to begin offering instruction and/or training at proposed site (month/year)
Length of the training program
Estimated number of students to be served
Does your college offer this program as credit?
Does your college offer this program as credit?
What type of non-credit offering?
What type of non-credit offering?
Is the course offering full-time or part-time?
Is the course offering full-time or part-time?
What is the course delivery modality?
Does the course has special curriculum?
Does the course has special curriculum?
Is this a packaged program?
Is this a packaged program?
If so, please provide the name of the program/materials.
Name of Partners/Organizations Involved
Name of External Agency Organization that Must Approve Program if applicable
Is this a packaged program?
Is this a packaged program?
If so, please provide the name of the program/materials.
Instructor's Name
Instructor's Banner ID
Name of Partners/Organizations Involved
Name of External Agency Organization that Must Approve Program if applicable
Powered by QuestionPro