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Teacher(s) Proposing the Course:     Department/Grade Level:
Proposed Course/Program Title:     Building:  
Course Length:       Credits:
Requirement/Elective:     Class Meets:  
Suggested Class Size:
Prerequisites:
 
1. The course/revision is proposed:

 
 
2. This course/revision will require:


 
 
3. What resources are needed to implement this course?:
physical space (environment):
technology:
curriculum devolopment time:
other:
 
4. I have checked the course planning guide for overlap/duplication of curriculum and found:

 
 
Course Information
 

A. Rationale for proposal: (Provide a brief description of student/school needs,
research supporting the proposal, purpose of course, benefits, and anticipated
student outcomes.)


 

B. CCSS and/or model academic that will be taught: Indicate how this proposal aligns
with state expectations (CCSS state model academic standards).


 

C. Indicate how this proposal aligns with district priorities:


 

D. Short descriptive paragraph highlighting the major focus of the course to be used for course planning guide:


 

E. Summary of the instructional methods to be used to deliver the course curriculum:


 

F. How will you assess student learning? Please explain:


 

G. Financial Impact (Provide an explanation of projected costs for personnel, materials, and equipment.
Please Include Anticipated FTE (+/-), material needed, and estimated cost):


 
 
KASD Email Address:      Date: 5/20/2012
School Admin:  
 

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