Process for Coordinating Concurrent Enrollment on High School Campuses
School Name:
Principal/Designee:
Contact Email:
Contact Phone #:
Date:
CCSD ADMINISTRATIVE APPROVAL PROCESS FOR PART-TIME INSTRUCTOR
(Please return completed form to: Jill Hersha, CCSD Guidance & Counseling, CPD)
CCSD
Course(s)
College
Course(s)
Teacher’s Name
Teacher Contact
Phone/Email
Schedule of
courses
(During or
After
School)
Stipend
reviewed
by
Guidance
Services
During
Yes
School Principal’s Approval ___________________________ Date ___________________________
CHECKLIST:
FALL 2014 SEMESTER
_____Textbooks: College textbooks will be discussed and shared from the State Textbook List.
_____Placement Exams: English/Math exams must be completed by August 01, 2014.
_____Student Registration: Course registration due by 11:59 p.m. on August 24, 2014.
_____Fee Collection: Online course payment due by 11:59 p.m. on August 24, 2014.
CSN ADMINISTRATOR USE ONLY
(Please return completed form to Nora Mirabal, Jumpstart Program W20E)
College Course(s)
Transcripts/Resume/
Human Resources
Please check one:
Date
Date
Date
Date
Approved ( )
Department Chair Signature
Collected
Processed Collected Processed
Disapproved ( )
Rev: 05/14