Portland Community College
CEU Request
Save this document for your records
Send completed form electronically to ceu@pcc.edu
Department:
Submitter:
Phone and
Email:
Choose one
CEU new
CEU revision
CEU number
(leave blank for a
new course)
Course Title:
(limit 60 characters
including spaces)
Transcript Title:
Number of
contact hours
(limit 30 characters
including spaces)
Brief
description:
(limit 250
characters, Do not
use bullet points or
special characters in
description.)
Target
audience:
Must demonstrate that the course is for currently employed individuals needing to get a
certification.
Learning
Outcomes
What will the student be able to do “out there” based upon what they learned in this course?
Upon completion
of the course
students will be
able to:
Implementation
term
Next available term after approval
Specific term
Notes to the
curriculum office
if necessary:
Revised 6.2012
CEU request
1