CTEIS Form 1.1 Semester
CTEIS DELIVERY MODEL – ONE YEAR BY SEMESTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each semester
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Semester 1:
Semester 2:
Teacher:
Teacher:
Course:
Course:
Segments:
Segments:
•
•
•
•
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
Course section should include only Segment Q, no other
Needs school year added
Add (s) to Teacher, and change class to course
Would like to have to enter the school name only once and have it automatically fill in the rest
Some way
Instructor(s) signature line [all teachers teaching this program with same psn must sign; include date and
where they print or type their name
Add the “Q” to the first page
Rev. 11/2011
CTEIS Form 1.2 Trimester
CTEIS DELIVERY MODEL ‐ ONE YEAR BY TRIMESTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each trimester
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Teacher:
Teacher:
Course:
Teacher:
Course:
Segments Trimester 1:
Course:
Segments Trimester 2:
Segments Trimester 3:
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
Q
•
•
•
•
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
Course section should include only Segment Q, no other
Rev. 11/2011
CTEIS Form 1.3 Quarter
CTEIS DELIVERY MODEL – ONE YEAR BY QUARTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each quarter
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Quarter 1:
Quarter 2:
Course:
Quarter 3:
Course:
Quarter 4:
Course:
Course:
Teacher:
Teacher:
Teacher:
Teacher:
Segments:
Segments:
Segments:
Segments:
1
7
1
7
1
7
1
7
2
8
2
8
2
8
2
8
3
9
3
9
3
9
3
9
4
10
4
10
4
10
4
10
5
11
5
11
5
11
5
11
6
12
6
12
6
12
6
12
Q
•
•
•
•
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
Course section should include only Segment Q, no other
Rev. 11/2011
CTEIS Form 2.1 Semester
CTEIS DELIVERY MODEL – TWO YEAR BY SEMESTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each semester
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Year 1
Semester 2:
Semester 1:
Teacher:
Teacher:
Course:
Course:
Segments:
Segments:
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
Year 2
Semester 2:
Semester 1:
Teacher:
Teacher:
Course:
Course:
Segments:
Segments:
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
Q
•
•
•
•
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
Course section should include only Segment Q, no other
Rev. 11/2011
CTEIS Form 2.2 Trimester
CTEIS DELIVERY MODEL – TWO YEAR BY TRIMESTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each trimester
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Year 1
Teacher:
Teacher:
Teacher:
Class:
Class:
Class:
Segments Trimester 1:
Segments Trimester 2:
Segments Trimester 3:
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
Year 2
Teacher:
Teacher:
Teacher:
Class:
Class:
Class:
Segments Trimester 1:
Segments Trimester 2:
Segments Trimester 3:
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
Q
•
•
•
•
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
Course section should include only Segment Q, no other
Rev. 11/2011
CTEIS Form 2.3 Quarter
CTEIS DELIVERY MODEL – TWO YEAR BY QUARTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each quarter
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Year 1
Quarter 3:
Quarter 1:
Quarter 2:
Quarter 4:
Class:
Class:
Class:
Class:
Teacher:
Teacher:
Teacher:
Teacher:
Segments:
Segments:
Segments:
Segments:
1
2
3
1
2
3
1
2
3
1
2
3
4
5
6
4
5
6
4
5
6
4
5
6
7
8
9
7
8
9
7
8
9
7
8
9
10
11
12
10
11
12
10
11
12
10
11
12
Year 2
Quarter 3:
Quarter 1:
Quarter 2:
Quarter 4:
Class:
Class:
Class:
Class:
Teacher:
Teacher:
Teacher:
Teacher:
Segments:
Segments:
Segments:
Segments:
1
2
3
1
2
3
1
2
3
1
2
3
4
5
6
4
5
6
4
5
6
4
5
6
7
8
9
7
8
9
7
8
9
7
8
9
10
11
12
10
11
12
10
11
12
10
11
12
Q
•
•
•
•
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
Course section should include only Segment Q, no other
Rev. 11/2011
CTEIS Form 3.1
CTEIS DELIVERY MODEL ‐ MULTIYEAR BY SEMESTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each semester
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Year 1
Class:
Class:
Teacher:
Year 2
Class:
Class:
Teacher:
Teacher:
Teacher:
1
2
3
1
2
3
1
2
3
1
2
3
4
5
6
4
5
6
4
5
6
4
5
6
7
8
9
7
8
9
7
8
9
7
8
9
10
11
12
10
11
12
10
11
12
10
11
12
Year 3
Class:
Class:
Teacher:
Year 4
Class:
Class:
Teacher:
Teacher:
Teacher:
1
2
3
1
2
3
1
2
3
1
2
3
4
5
6
4
5
6
4
5
6
4
5
6
7
8
9
7
8
9
7
8
9
7
8
9
10
11
12
10
11
12
10
11
12
10
11
12
Q
•
•
•
•
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
Course section should include only Segment Q, no other
Rev. 11/2011
CTEIS Form 3.2
CTEIS DELIVERY MODEL ‐ MULTIYEAR BY TRIMESTER
School:
PSN:
Program:
CIP Code:
Directions:
‐ Identify which segments are delivered each trimester
‐ Identify when the majority of the segment standards are delivered
‐ Mark when each segment will be delivered and mark the segment only once
‐ This information will assist in the entry course sections into the CTEIS system
Year 1
Teacher:
Teacher:
Teacher:
Class:
Class:
Class:
Segments Trimester 1:
Segments Trimester 2:
Segments Trimester 3:
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
Year 2
Teacher:
Teacher:
Teacher:
Class:
Class:
Class:
Segments Trimester 1:
Segments Trimester 2:
Segments Trimester 3:
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
Year 3
Teacher:
Teacher:
Teacher:
Class:
Class:
Class:
Segments Trimester 1:
Segments Trimester 2:
Segments Trimester 3:
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
Year 4
Teacher:
Teacher:
Teacher:
Class:
Class:
Class:
Segments Trimester 1:
Segments Trimester 2:
Segments Trimester 3:
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
Q
•
•
•
Must be a Completer before reporting in Segment Q
Reporting for Advance/Specialized Content in CTEIS not required for completion
State Aid Section 61a1 funding
• Course section should include only Segment Q, no other
Rev. 11/2011