Curriculum Approval Form

REQUESTS FOR PROGRAMS: NEW, MODIFICATION, and ADOPTION

Please refer to the Guide Book and FAQ document to complete the form. Prior to submitting a new program, verify the program and/or Industry Based Credential is not listed on the Master IBC list.
College Name

BPCCBRCCCLTCCDCCDELTAFTCCNSHORENUNEZNLTCCRPCCSLCCSOWELAALL
Program Name
Award Level (s)

Credential of ValueOn Ramp CredentialOther
List IBC Name and Issuer *
CIP Code
Clock Hours
Name of Program Accreditation, Licensure or Certification
NEW PROGRAMS: State the purpose and objective. Please verify program/IBC is not listed on the Master IBC list.
IMPLEMENTATION DATE

MonthDayYear
Date
LOUISIANA WORKFORCE COMMISSION STAR LEVEL (http://www.laworks.net/Stars/)

12345
JUSTIFICATION FOR STAR RATINGS: For ratings less than 3, include support such as four-year university agreements, industry demand, advisory board information, etc.
FACULTY)

Faculty are credentialed and can certify students for IBC completion.Faculty are not credentialed and can certify students for IBC completion.
FISCAL IMPACT: ADMINISTRATION and IMPLEMENTATION COSTS Describe how this change will affect the administrative structure and/or allocation of departmental funds in terms of faculty, facilities, support and any other resources.
ANTICIPATED ENROLLMENT Number
ANTICIPATED ENROLLMENT Describe Process for Attaining & Estimating Enrollment
Program Curriculum

Attach program curriculum using the template. You will need to download the template. All modifications should include the OLD and NEW curriculum with changes appropriately noted so that it is visually clear what has been added, deleted and/or changed. Note if any special requirements, such as internships, are part of the curriculum. List all embedded IBCs. If you are adopting curriculum, you do not need to complete this section.

Be sure to include subject code, course number, course title, contact or credit hours.

Follow instructions located in the Workforce to Banner Workbook, specifically in the "Build Courses section"
Attach program curriculum including subject code, course number, course title, contact hours.

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Benefits to System
Discuss how this change will benefit your students, your community, and the LCTCS.
Supporting Documentation
Upload documents that are pertinent to the program's approval. NOTE: If you have a paper copy of the curriculum form that you are copying and pasting from, upload it.

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Upload Employer Support Form

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College Signatures
COLLEGE CHIEF ACADEMIC OFFICER

First NameLast Name
Email
example@example.com
COLLEGE CHIEF WORKFORCE OFFICER

First NameLast Name
Email
example@example.com
Should be Empty:

REQUESTS FOR PROGRAMS: NEW, MODIFICATION, and ADOPTION

Program Curriculum

Benefits to System

Supporting Documentation

College Signatures