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
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
Proposed Program/Training to be Offered
Is this a packaged program?
If so, please provide the name of the program/materials.
Does your college offer this program as credit?
Name of Partners/Organizations Involved
Name of External Agency Organization that Must Approve Program if applicable
Course or Program Name
Brief Description of the Program/Course
Number of Contact Hours
Assessment Type
Training Start Date
Maximum Seat Capacity
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
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