Customized Course Request Form

Requester's Name*

Prefix

First

Last

Suffix

Course requestor's email*

Course requestor's phone number*

To whom are you submitting this request?*

Prefix

First

Last

Suffix

Choose one option*

New class - (Never in SIS)
Existing class - (SIS Course to be created in WES)

Course/Class Information

What Company was this class created for?

What is the subject of the class?*

Provide the Title of the Course*

Please provide a description of this class. This will be used in the proposal and may displayed on the website

How many CEUs is this class?

What attributes are associated with the class? All classes will receive an attribute of WDS*

ASSESSMEN - Assessment and Test
COMMSRVC - Community Service
CUSTOM - Custom
EXTTRN - External Training
LIMITED - Limited Data Custom Class
OPEN - Open Enrollment
SENIORCTZ - Senior Citizen Discount
ONLINE - Online Services - Blackboard & Email
Other

COURSE SCHEDULE INFORMATION

What location is the course being held?*

In which classroom will this course be held?*

If you selected "Other" please provide the name of location and address so a location can be created.

CLASS SECTION CODE

The following three sections will build your Class Section Code. Rule: The first letter of the section is the type of class being scheduled; the second and third letter of the section is the number; the fourth letter of the section is the campus location.

Type of Class being scheduled*

Start Date of Class*

End Date of Class*

Select day(s) class will be held*

Mon
Tue
Wed
Thu
Fri
Sat
Sun

What hours will the class be held? (If times vary depending on the day, please specify)*

Name of course instructor*

Prefix

First

Last

Suffix

What is the instructor's EMPLID?*

Which account is this class associated?*

What is the Price to the Company?

What is the minimum enrollment for this class (if any)?

What is the maximum enrollment for this class?*

Is there any additional information that needs to be known about this class before cataloging/scheduling?

Which of the following items need to be created for this course?

Training Agreement
Instructor Contract
Registrations
Evaluations
Class Materials
Other

Please provide any specific instructions for the creation of the Training Agreement (if needed)

If you selected "Instructor Contract," what is the hourly rate of instructor's pay?

Type the characters from the image below