NCDOI CONTINUING EDUCATION COURSE OUTLINE
SUBMISSION DATE:
(Date)
SPONSOR NAME:
SPONSOR NUMBER:
(Sponsor Name)
(Sponsor Number Ex: S000)
COORDINATOR NAME/TITLE:
TELEPHONE NUMBER:
EMAIL ADDRESS:
(Coordinator Name/Title)
(telephone number ex: (919)-555-5555)
(email address ex:your_name@ncdoi.gov)
COURSE TITLE: (Course Title)
AREA(S)/CE CREDIT(S) REQUESTED:
TRADE AREA REQUESTED
BUILDING
ELECTRICAL
FIRE
MECHANICAL
PLUMBING
/
# CREDITS REQUESTED
(Credits Requested ex:2)
(Credits Requested ex:2)
(Credits Requested ex:2)
(Credits Requested ex:2)
(Credits Requested ex:2)
COURSE DESCRIPTION:
(Course Description)
STUDENT LEARNING OBJECTIVES FOR EACH MODULE List a learning objective for each Module
explaining what students will learn from each Module. Modules are equal to 1 hour. (50 minutes of
instruction and a 10 minute break).
MODULE 1: Learning Objective. (Learning Objective)
MODULE 2: Learning Objective. (Learning Objective)
MODULE 3: Learning Objective. (Learning Objective)
MODULE 4: Learning Objective. (Learning Objective)
MODULE 5: Learning Objective. (Learning Objective)
MODULE 6: Learning Objective. (Learning Objective)
COURSE OUTLINE AND TIMELINE
COURSE OUTLINE AND TIMELINE
Use as many modules as you need to create your outline. Provide a listing of the chapter(s), and
related sections and subsections you will cover within the module. Provide a brief description of
what you will cover in each chapter/section/subsection and indicate the amount of time you will
spend on each.
MODULE 1
(50 Minutes Instruction/10 Minute Break)
CHAPTER ###
Section # TITLE……………………………………………….
__ Minutes
Description……………………………………………………………………………………..
………………………………………………………………………………………………………
Subsection #s
__ Minutes
Subsection #s
__ Minutes
Section # TITLE……………………………………………….
__ Minutes
Description………………………………………………………………………………………
……………………………………………………………………………………………………….
Subsection #s
__ Minutes
Subsection #s
__ Minutes
BREAK
MODULE 2
10 Minutes
(50 Minutes Instruction/10 Minute Break)
CHAPTER ###
Section # TITLE……………………………………………….
__ Minutes
Description……………………………………………………………………………………..
………………………………………………………………………………………………………
Subsection #s
__ Minutes
Subsection #s
__ Minutes
Section # TITLE……………………………………………….
__ Minutes
Description………………………………………………………………………………………
……………………………………………………………………………………………………….
Subsection #s
__ Minutes
Subsection #s
__ Minutes
BREAK
10 Minutes
COURSE OUTLINE AND TIMELINE
MODULE 3
(50 Minutes Instruction/10 Minute Break)
CHAPTER ###
Section # TITLE……………………………………………….
__ Minutes
Description……………………………………………………………………………………..
………………………………………………………………………………………………………
Subsection #s
__ Minutes
Subsection #s
__ Minutes
Section # TITLE……………………………………………….
__ Minutes
Description………………………………………………………………………………………
……………………………………………………………………………………………………….
Subsection #s
__ Minutes
Subsection #s
__ Minutes
BREAK
MODULE 4
10 Minutes
(50 Minutes Instruction/10 Minute Break)
CHAPTER ###
Section # TITLE……………………………………………….
__ Minutes
Description……………………………………………………………………………………..
………………………………………………………………………………………………………
Subsection #s
__ Minutes
Subsection #s
__ Minutes
Section # TITLE……………………………………………….
__ Minutes
Description………………………………………………………………………………………
……………………………………………………………………………………………………….
Subsection #s
__ Minutes
Subsection #s
__ Minutes
BREAK
MODULE 5
10 Minutes
(50 Minutes Instruction/10 Minute Break)
CHAPTER ###
Section # TITLE……………………………………………….
__ Minutes
Description……………………………………………………………………………………..
………………………………………………………………………………………………………
Subsection #s
__ Minutes
COURSE OUTLINE AND TIMELINE
Subsection #s
__ Minutes
Section # TITLE……………………………………………….
__ Minutes
Description………………………………………………………………………………………
……………………………………………………………………………………………………….
Subsection #s
__ Minutes
Subsection #s
__ Minutes
BREAK
MODULE 6
10 Minutes
(50 Minutes Instruction/10 Minute Break)
CHAPTER ###
Section # TITLE……………………………………………….
__ Minutes
Description……………………………………………………………………………………..
………………………………………………………………………………………………………
Subsection #s
__ Minutes
Subsection #s
__ Minutes
Section # TITLE……………………………………………….
__ Minutes
Description………………………………………………………………………………………
……………………………………………………………………………………………………….
Subsection #s
__ Minutes
Subsection #s
__ Minutes
BREAK
10 Minutes
METHOD OF PRESENTATION: Please choose the method of presentation and course setting being
used for the course.
This is an (instructor led, online, distance learning, webinar) course conducted within a
(classroom, online, field trip) setting.
NOTE: If you will be using a PowerPoint presentation as part of the content/instruction,
you must upload/submit the presentation as well as any student documents (i.e.
worksheets, handouts, etc.).
The instructor will use____________________________________________________________
______________________________________________________________________________.
COURSE OUTLINE AND TIMELINE
PROOF OF ATTENDANCE AND SUCCESSFUL COMPLETION:
The course sponsor and/or instructor(s) will ensure that participants are provided a
Certificate of Completion and all end-of-course documentation (i.e. roster and end-ofcourse evaluations) will be submitted electronically utilizing the NCDOI web application
within 15 calendar days of completing the course.
____________________ Your initials indicate you will comply.
TENTATIVE LIST OF DATES, TIMES, AND LOCATIONS WHERE THE COURSE WILL BE OFFERED ONCE
APPROVED (If you do not know yet, just leave blank):
All approved CE courses must be scheduled prior to the start date of the course. Rosters
will not be accepted nor will attendee or instructor credit be awarded for previously held
non- scheduled courses. Sponsors will ensure that all courses have been approved and
advertised no less than 20 calendar days prior to the start of the course.
____________________ Your initials indicate that you will comply.