Jacksonville State University
Office of Continuing Education
“The End Depends Upon The Beginning”
CONTINUING EDUCATION COURSE PLAN
SEMESTER:
ACEWARE NUMBER
COURSE TITLE:
INSTRUCTOR & TITLE:
DATE (S):
TIME:
SESSION (S):
COURSE FEE:
NO. OF CEUs:
REGISTRATION DEADLINE:
NUMBER OF PARTICIPANTS:
Minimum:
Maximum
PREREQUISITES:
ESTIMATED EXPENSES:
INSTRUCTOR PAY:
INSTRUCTIONAL SUPPLIES: (1)
(2)
(3)
STUDENT SUPPLIES:
(2)
(3)
OFFICE:
(1)
$1.50 per person
APPROVED:
PRINTING (per page):
________________________________
INSTRUCTOR
COORDINATOR
Original Completion:
5)
6)
7)
8)
Renewal
_________
DATE
_______________________________________________
DIRECTOR OF CONTINUING EDUCATION
Course Rationale
Course Description
Potential Audience
Objectives
_________
DATE
________________________________
ATTACH:
1)
2)
3)
4)
$.10
_____________
DATE
Activities
Evaluation
Course Outline Agenda
Course Outline (Agenda)
Complete Form__________________
2
COURSE NEEDS FORM
INSTRUCTOR NAME:
ADDRESS:
PHONE:
SOC SEC NO:
MEMBER OF TEACHER RETIREMENT:
Yes
No
SUPPLY LIST INSTRUCTOR:
SUPPLY LIST STUDENT:
AUDIOVISUAL EQUIPMENT NEEDS: (Please list any equipment needed for this
course and subsequent date (s) required)
ROOM/SPACE REQUIREMENTS: (Please list any special needs required for your
classroom)
COURSE RATIONALE
Why is this course needed?
COURSE DESCRIPTION
How would I describe this course in the catalog or in advertisements?
POTENTIAL AUDIENCE
Who is the potential audience for this course? Why?
3
OBJECTIVES
What do you plan to happen as a result of this course?
Students will:
1.
2.
3.
4.
5.
ACTIVITIES
What activities do you plan to include in your presentation? (Lecture, role-play,
discussion, etc.)
EVALUATION
How would you assess your students to see if your objectives are reached?
EVALUATION OF INSTRUCTOR AND COURSE AS A WHOLE
Students will be given an evaluation form at the end of each class so that they can
evaluate the instructor and the success of the activity
COURSE OUTLINE
Please add additional pages if needed.