Fillable Dual Enrollment/Jump Start Course Request (Baton Rouge Community College)

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Dual Enrollment/Jump Start Course Request (Baton Rouge Community College)

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Dual Enrollment/Jump Start Course Request
Summer 2017 & Academic Year 2017-2018
Due: Friday, March 17, 2017
Requests must be submitted to Director of Dual Enrollment: Mandy LaCerte; lacertea@mybrcc.edu or 225.216.8315
Date: Dual Enrollment School Contact
:
High School
:
Dual Enrollment Contact Email
:
Principal
:
Principal Email Address
:
Course Request(s):
College Course
Title & # of
Sections
College Course
Credit Hours
High
School
Course
Title
H.S. Course Day and
Time (Enter each
section)
High
School
Course
Units
Semester
Term
(Summer,
Fall or
Spring)
# of
students
Instructor
to be
Provided
by BRCC
Online
Course
Ex: ENGL 101- 2
sections
3 English III MWF 1:02-2:12/ TR
8:45- 10:15
1 Fall 18 Yes Yes
*
BRCC dual enrollment does not guarantee fulfillment of requests to provide instructor(s) or online course(s). Each is subject to personnel
availability. Once this request is submitted, BRCC will work expeditiously to communicate approval/denial of each request. The minimum number of
students needed to provide a BRCC instructor is 16. The maximum enrollment for online courses differs per content area.
Instructor Request(s):
(to be completed by school using high school instructor for DE course at school site or requesting specific BRCC instructor)
High School Instructor
Name
Certification Area Previously Credentialed by
BRCC Dept. Chair
Approved
To be completed by BRCC
Ex: Jane Doe English 6-12 No
All instructors must be approved by Baton Rouge Community College (BRCC) department chairs prior to the
start of each semester.
Prospective Instructors must:
Submit unofficial transcripts AND contact information form immediately
Provide official transcripts to support Master’s Degree 18+ graduate hours in subject within 10 days of submitting this form
(request e-script delivery to lacertea@mybrcc.edu )
Technical Course Instructors: provide proof of credential or certification for technical course AND resume
Provide additional information as requested by BRCC Office of Dual Enrollment
Submit all documentation to: Mandy LaCerte, lacertea@mybrcc.edu
201 Community College Drive
Magnolia Bldg., Room 120
Baton Rouge, La 70806
High School Representative Signature Date Director of Dual Enrollment Date
Print Request
Email Request
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Dual EnrollmentJump Start Course Request (Baton Rouge Community College)

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Completed 17 September 2020

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