CURRICULUM PLAN/Syllabus
For TARGETED Professional Learning (face-to-face, online, or Hybrid)
Title:
Number of Credits Requested (15 instructional hours are required for 1 credit):
Instructor of Record (person who will sign the grade sheet):
Additional PRESENTER/FACILTATOR INFO: (copy this & add each additional presenter/facilitator HERE,
OR, attach as a separate document for a Multiple-speaker event, such as a conference or institute)
Name:
Current Position/Title:
Highest Degree and Field of Study:
1. Description
Please provide a detailed description to include purpose of the learning event, target audience, the
content/topics being covered during this event, and any relevant details to help clarify what
participants will be doing and learning about.
2. Learning Objectives/Targets
Please provide 2-3 learning objectives which you will use as targets for participant learning during this event.
What knowledge do you want them to attain, or what skills do you want them to learn by the end of this
learning event? It’s helpful to finish the following sentences, (Knowledge gained) Participants will know...
(Skills gained) Participants will be able to.... (Utilize action verbs such as: assess, define, analyze, etc.)
3. Agenda/Learning Outline
Fill in the following table for a face-to-face session. Go to Agenda Templates (Hold down Ctrl, then
Click on hyperlink) to find additional formats to use for Online OR Hybrid (face-to-face and online)
sessions, OR replace the following with your own agenda.
Day 1
Start Time
& End Time
of Session
TOPICS (or Session Title) & short description of
what will be covered during the session.
Presenter/Facilitator
Number of
Instructional
HOURS
AM:
LUNCH
0
PM:
Total Hours for the Day =
*Add more rows as needed by right clicking in a row and clicking on INSERT
Day 2,
Start Time
& End Time
of Session
AM:
TOPICS (or Session Title) & short description of
what will be covered during the session.
LUNCH
Presenter/Facilitator
Number of
Instructional
HOURS
0
PM:
Total Hours for the Day =
*Copy and Paste Table to add more days as applicable
If required instructional hours (15 for 1 credit; 30 for 2 credits, etc.) aren’t met during sessions listed
above, please identify here the hours remaining, and explain what participants will be required to
do to complete them:
Total Hours (excluding mealtimes):
4. Resources/Course Materials
What resources/materials will be used (books, articles, videos, etc.)? Identify type of resource and list
titles and authors.
5. Requirements for Participant Accountability
Required Criteria to Receive Credit
Attendance & Participation: Participants must be actively involved in all instructional hours
provided.
Evidence of Learning and Application: Receiving credit is dependent upon quality evidence
completed by participants that appropriately reflects the amount of instructional hours this event
provides. What evidence you will to require from each participant, as part of the training itself or
following the event, to assess their learning? Explain below.)
1. Reflections on New Learning (Describe the information sharing or collaboration options your
participants will engage in as evidence of reflection upon the session content.)
2. Application of New Learning: (Describe what participants will be asked to do to show evidence of
application of the session content to their work.)
Submission Deadline Date of Assignments (if applicable):
6. Letter Grading Requirement: (NOTE: No additional info is needed if only S/U grading is being used.
Study groups/book studies may request only S/U grading.)
a. Provide a list of student evidence/credit requirements and their percentages toward the final grade,
or other procedures for grading.
b. Provide the grading scale that will be used to determine the letter grades, or applicable grading
system.
A grading scale example is provided (Hold down Ctrl, then Click on link).
When completed, SAVE this to your computer and upload into the online Credit Approval
Request form. (You may submit/upload your own syllabus or program brochure, if it includes all
the components in this form. Attachments must be MSWord or plain text documents. )