Course Initiation Application

Fields marked with "*" are required.
When registering or inquiring with NNU, please use your full, legal name.

Organization / Sponsoring Agency

District, School, Agency or Organization:

Organization Name*Phone*
Address*City*
State*Zip*
Website
Organization Contact Name
Organization Contact Email
Will Your Organization Be Issuing A Purchase Order As Payment For This Course?*
PO Number
Contact Person For PO AuthorizationEmail Or Phone
Is This Course ONLY Available To Teachers In Your District*

Course Logistics
Course Offering Title*Course Prerequisites*

New Course

Repeat Course

Type of Credit
NOTE: Professional Development courses do not normally count toward an academic degree

Number Of Graduate Level PD Credits
Number Of Undergraduate Level PD Credits

NOTE: For Paraprofessionals and only by special request.

Number Of Continuing Education Units
Number Of Clock Hours
Evaluation Procedure*

NOTE: Letter Grade evaluation requires submission of a grading rubric.

Instructor Name
Instructor Email
Has This Course Instructor Taught CPD Courses At NNU Before?*

NOTE: If instructor is a new adjunct for CPD, please complete and submit the Instructor Vitae and Important Responsibilities Form to request approval.

Instructional Fee
Course Materials

Payable to NNU?

Yes

Anticipated Enrollment*
Minimum/Maximum*
Completion Date*
Last day to submit course work or complete requirements.

DatesDay
TimeTotal Hours
Location

Add Another Date

Course Details - Syllabus
Course Description

An overall summary of learning content and methods the course is designed to expose participants to.

Educational Goals

Broad statements of what participants will achieve by taking this class. Goals will be achieved by completing the learning objectives indicated below.

Learning Objectives

What will participants be able to DO as a result of this class? Measurable results for instructor to determine participants' grade. List 4 or 5 objectives.

Course Requirements

A minimum of 15 student learning hours, to include at least one measurable learning product, required per credit earned.

Learning Resources Or Text

Northwest Nazarene University