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for Web-based Courses


Iowa Department of Education
 
Educational Want Ads: Course Receiver Form
Semester or Full Year Courses
If you want to advertise for a full semester course that you want to receive, please use this form to submit the information to Iowa Learning Online. Please submit a separate form for each class being requested.

Section I : Receiver Information (required)
School District Name:
AEA Number:
Contact Person(s):
Phone:
Email:
Section II: Receiving School's Schedule Information
Bell Schedule: 7 periods 8 periods block alternate day block
(pick one)
Other (give details):
Start Time of School Day:
e.g., 9:30 am (NOTE: no spaces or punctuation in "AM" or "PM")
End Time of School Day:
e.g., 3:30 pm (NOTE: no spaces or punctuation in "AM" or "PM")
Section III: Course Information
Course Title:
Time(s) We Would Like the Course to be Offered (if known):
Date(s) / Semester(s) / Year We Would Like Course to be Offered:
Students: How Many Will be Taking the Course?
(Enter the exact number of students to be taught, an estimate or a range.):
Students' Experience in This Subject Area (i.e., what prerequisites have they fulfilled?):
Section IV: Additional Information
Other contact people, phone numbers, comments
Delete want ad by: (MM/DD/YY)
   
Questions about the Want Ads?
Contact Kathy Borlin at 515-242-4173, 800-532-1290,
or kathy@iptv.org

Problems with this form?
Contact the Webmaster.

Copyright 2008, Iowa Department of Education