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HSP Instructor Manual
Table of Contents
High School Partnership Contact Information
1
Approval Process
2
Instructor Training Policy
3
1.1 & 1.2 Instructor Qualifications
4
Instructor Information Sheet
5
HSP Contact List by High School
6
Web Page information for HSP classes
7
Scores Required for HSP Classes
9
On-line Attendance and Grading Information
12
HSP Academic Program Coordinators
17
HSP Registration Procedures
18
Early Start and Early Bird Programs
19
HSP Contract and Renewal Procedures
20
HSP Course Renewal Example
21
ADMINISTRATION
High School Partnerships
Enrollment Services
CONTACT LIST
Dr. Dale Chapman, President
618 468-2000
618 466-4044 fax
dchapman@lc.edu
Dr. Linda Chapman, Vice President
Academic Affairs
618 468-4000
618 468-2341 fax
lchapman@lc.edu
Gary Ayres, Vice President
Administration & Community Services
618 468-3000
618 466-7173 fax
gayres@lc.edu
Kent Scheffel, Vice President
Enrollment Services
618 468-3200
618 468-7182 fax
kscheffe@lc.edu
Dr. Susan Czerwinski-Aljets, Dean
Math, Science and Technology
618 468-4800
618 468-7120 fax
sczerwin@lc.edu
Jill Lane, Dean
Liberal Arts and Business
618 468-4900
618 468-7171 fax
jlane@lc.edu
HIGH SCHOOL PARTNERSHIPS & COMMUNITY EDUCATION
Yvette McLemore, Director
High School Partnerships & Community Education Ctrs.
618 468-5050
618 468-7185 fax
ymclemor@lc.edu
HIGH SCHOOL PARTNERSHIP & COMMUNITY EDUCATION STAFF
Amy Underwood, Secretary,
618 468-5051
High School Partnership
618 468-7187 fax
aunderwo@lc.edu
COMMUNITY EDUCATION CENTERS
Kelly Wilson, Coordinator
Macoupin County Education Center
217 854-5400
217 854-3758 fax
kwilson@lc.edu
Laura Yowell, Assistant
Macoupin County Education Center
217 854-5400
217 854-3748 fax
lyowell@lc.edu
Tim Gwillim, Coordinator
Tri-County Community Education Center
618 498-6500
618 498-2560 fax
tgwillim@lc.edu
Linda Morgan, Assistant
Tri-County Community Education Center
618 498-6500
618 498-2560 fax
lmorgan@lc.edu
Tim Bell, Manager
N.O. Nelson Campus, Edwardsville
618 656-8800
618 656-9515 fax
tbell@lc.edu
Ann Bilbruck, Coordinator
N.O. Nelson Campus, Edwardsville
618 656-8800
618 656-9515 fax
abilbruc@lc.edu
Annette Bartles, Assistant
N.O. Nelson Campus, Edwardsville
618 656-8800
618 656-9515 fax
abartles@lc.edu
Updated: 11/13
2
High School Partnership (HSP) Approval Procedures.
 Course Approval: The high school instructor will submit the district approved Course Outline for the
articulated course(s).
 Instructor Approval: The high school instructor’s district approved course outline, Information
Sheet along with a copy of their college transcripts will be submitted to the HSP office. Transcripts
may come from the Superintendent’s or ROE office (unofficial copies are accepted).
 When the documents are received in the LC HSP Department, an approval form is attached and the
packet is sent to the appropriate HSP Program Coordinator/Dean for review and consideration.
 If approved, the documentation is signed and returned to the LC HSP Department. The approved
course is then immediately inserted on the HSP web site. The HSP Secretary will send out approval
letters to the instructor, principal and CEC Coordinator to whom the school is assigned to.
If the course articulation/instructor is denied, the LC Coordinator/Dean will submit a letter of explanation
to the LC HSP Department. A cover letter is attached and sent to the appropriate high school, instructor
and Lewis and Clark personnel. Notification will also be sent to the appropriate CEC Coordinator.
All HSP instructors are required to attend annual discipline specific professional development activities to
continue their partnership.
Amy Underwood
LCCC-Fobes 2500
5800 Godfrey Rd
Godfrey, IL 62035
(618) 468-5051 ♦ (618) 468-7187 FAX
Revised 8/14
3
High School Partnership Program
Instructor Training Policy
All high school High School Partnership instructors are required to attend annual
workshops for their specific discipline and general training seminars as necessary.
 Workshops will be scheduled at agreed upon dates when a majority of instructors
are able to attend.
 If you are unable to attend the workshop, you must notify the High School
Partnership Program Director prior to the date of the workshop.
 An alternative makeup session will be scheduled for all instructors that were
unable to attend or,
 A special 1:1 meeting will be scheduled with the HSP Program Coordinator at a
date/time agreed upon by both parties. These meetings may take place before or
following the site visit made by the HSP Program Coordinator.
 Some training information may be shared electronically with instructors, and
questions may be addressed via email or telephone communications.
If repeated unsuccessful attempts to accommodate attendance for required
workshops/seminars occur, the High School Partnership Program Director and the Vice
President of Enrollment Services will meet with school district administration to address
the issue.
The college may select to withdraw the course offering from the school district if training
issues are unresolved in a timely manner.
4
MINIMUM QUALIFICATIONS
FOR HIGH SCHOOL PARTNERSHIP INSTRUCTORS
TRANSFER AREA (PCS 1.1)
-
Master’s Degree within the discipline
Or
-
-
-
Minimum of five (5) years teaching in the content area (Master’s
Degree, not within the
discipline or approved Bachelor’s Degree)
and
Personal interview with the Vice President of Academic Affairs and/or
the Program
Coordinator in the content area
and
Recommendation letter from an administrator at the high school seeking instructor approval
MINIMUM QUALIFICATIONS
FOR HIGH SCHOOL PARTNERSHIP INSTRUCTORS
CAREER AREA (PCS 1.2)
-
Master’s Degree with 2000 hours of work experience within the discipline or related field of
study
Or
-
-
Bachelor’s Degree with 2000 hours of work experience within the discipline or related field of
study
and
Personal interview with a Dean and/or Program Coordinator in the content area
and
Recommendation letter from an administrator at the high school seeking instructor approval
5
“Empowering People”
INSTRUCTOR INFORMATION SHEET
2013-2014 Academic Year
Name:
School:
Social Security Number:
Date of Birth:
Home Address:
City/State/Zip:
Home Phone:
Email Address:
Race/Ethnic:
1.
Are you Hispanic or Latino? (or are you of Spanish origin?) __ Yes Hispanic or Latino __ No Hispanic or Latino
2.
Are you from one or more of the following racial groups? (Select all that apply)
__ American Indian or Alaska ___ Asian __ Black or African American __ Native Hawaiian or Other Pacific Islander
__ White __ Choose not to Respond
3.
Please identify your primary racial/ethnic group. (Select one)
__ American Indian or Alaska ___ Asian __ Black or African American __Native Hawaiian or Other Pacific Islander
__White __Choose not to Respond
4.
Are you in the United State on a Visa – Nonresident Alien?
__ Yes in the United States on a Visa. Provide Home Country of Origin ______________________
__ Not in the United States on a Visa
********************************************************************************************
Preparation time period during school year
Current Position:
Employment History:
Courses Taught:
Courses Taught:
Courses Taught:
Courses Taught:
Length at position
How Long:
How Long:
How Long:
How Long:
Where:
Where:
Where:
Where:
Educational History:
1. Institution:
Degree or Certificate:
Major
2. Institution:
Degree or Certificate:
Major
3. Institution:
Degree or Certificate
Major
Are transcripts on file in school district Board of Education Office?
Are transcripts on file at LCCC?
YES
NO
YES
NO
(If NO, please mail an unofficial copy to LCCC address below.)
Instructor Signature:
LCCC/ High School Partnership
Amy Underwood, Secretary
Fobes 2500 - 5800 Godfrey, Rd., Godfrey, IL 62035 (618)468-5051 * (618)468-7187 FAX
Date:
6
High School Partnership/Community Education Center Coordinators
Tim Bell, Manager/N.O. Nelson Center
N. O. Nelson Center
Edwardsville Campus
(618) 656-8800 ext. 5855
tbell@lc.edu
*Edwardsville High School
*Metro-East Lutheran High School
*Marquette Catholic High School
Ann Bilbruck, Coordinator
N.O. Nelson Center
Edwardsville Campus
(618) 656-8800 ext. 5856
abilbruc@lc.edu
*Alton High School
*Civic Memorial High School
*East Alton/Wood River High School
*Roxana High School
Tim Gwillim, Coordinator
Tri-County Community Education Center
(618) 498-6500
tgwillim@lc.edu
*Brussels High School
*Calhoun High School
*Carrollton High School
*Greenfield High School
*Jersey Community High School
*North Greene High School
Kelly Wilson, Coordinator
Macoupin County Community Education Center
(217) 854-5400
kwilson@lc.edu
*Bunker Hill High School
*Carlinville High School
*Gillespie High School
*Southwestern High School
*Staunton High School
7
Web Page information for High School Classes
On our Web Site www.lc.edu you can select “Degrees and Courses” then
“High School Partnership Program”
By selecting “High School
Partnership Schools &
Courses” you will be able to
see all the classes and
sections that your school
offers as part of our high
school partnership program
Select High School Partnership
These are the PDF that are
available. If you select “High School
Partnership Schools & Courses”
you will be able to see each school
and what classes they are offering.
8
First you will
need to select
your school from
the list
Then you will be able to see all the
classes your school is partnering
and who is the instructor for each
course.
9
Scores Required for HSP Classes
L&C Course
Number
L&C Course Name
Transfer
Reading
Diagnostic
Score
Writing
Diagnostic
Score
Algebra
Score
Trig.
ACCT 131
Financial Accounting
1.1
78
ART 131
Basic Design I
1.1
78
ART 141
History of Art
1.1
78
ART 151
Introduction to Photography
1.1
78
BIOL 130
Fundamentals of Biological Science
1.1
78
BIOL 131
Biology: A Contemporary Approach
1.1
78
BIOL 132
Human Biology
1.1
78
BIOL 145
Natural Resources & Enviromental Science
1.1
78
BIOL 165
Ecological Principles
1.1
78
CDEV 130
Career Development
1.1
No Test Required
CHEM 121
General Chemistry 1- Recitation
1.1
Concurrent Enrollment in CHEM 141
CHEM 131
Introduction to Chemistry I
1.1
78
CHEM 141
General Chemistry I
1.1
78
CIS 135
Computer Literacy
1.1
78
CIS 210
Intro to Java Programming
1.1
78
ECON 151
Principles of Macroeconomics
1.1
78
ECON 152
Principles of Macroeconomics
1.1
78
ENGL 131
First-Year English I
1.1
78
66
ENGL 132
First-Year English II
1.1
78
66
FREN 131
Elementary French I
1.1
78
FREN 132
Elementary French II
1.1
78
FREN 231
Intermediate French I
1.1
78
FREN 232
Intermediate French II
1.1
78
GERM 131
Elementary German I
1.1
78
GERM 132
Elementary German II
1.1
78
GERM 231
Intermediate German I
1.1
78
GERM 232
Intermediate German II
1.1
78
HIST 131
Western Civilization I
1.1
78
HIST 132
Western Civilization II
1.1
78
HIST 231
American Republic: Beg-1877
1.1
78
HIST 232
American Nation: 1877-Present
1.1
78
HUMN 131
Introduction to Humanities I
1.1
78
HUMN132
Introduction to Humanities II
1.1
78
HUMN 231
Comparative Religion I
1.1
78
LITT 136
Mythology
1.1
78
MATH 131
College Algebra
1.1
78
62-100
MATH 132
Trigonometry
1.1
78
62-100
10
MATH 145
General Education Statistics
1.1
78
MATH 171
Calculus & Analytical Geometry I
1.1
78
46-100
MATH 172
Calculus & Analytical Geometry II
1.1
78
46-100
MATH 235
Statisitcs
1.1
78
46-100
MCOM 132
Intro to Mass Communications
1.1
78
MCOM 134
News Writing
1.1
78
MCOM 145
Broadcasting Writing
1.1
78
MUSI 130
Appreciation of Music
1.1
78
MUSI 170
Wind Ensemble
1.1
78
POLS 131
American Government
1.1
78
POLS 231
Fundamentals of International Rel.
1.1
78
PSYC 131
General Psychology
1.1
78
SPAN 131
Elementary Spanish I
1.1
78
SPAN 132
Intermediate Spanish II
1.1
78
SPAN 231
Intermediate Spanish II
1.1
78
SPAN 232
Elementary Spanish II
1.1
78
SPCH 131
Public Speaking
1.1
78
SPCH 145
Public & Private Communication
1.1
78
Transfer
Reading
Diagnostic
Score
L&C Course
Number
L&C Course Name
ART 161
Graphic Design I
1.2
66
CGRD 140
Digital Photography
1.2
66
CGRD 142
CGRD 144
CGRD 150
CGRD 242
CHDV 131
CHDV 133
CNET 131
CNET 142
CNET 148
CNET 154
CIS 140
DRFT 131
DRFT 146
ECOL 101
ECOL 102
JOBS 132
JOBS 133
MACH 203
MACH 204
MACH 207
Adobe Photoshop
Adobe Illustrator
Desktop Publishing Using Indesign
Advanced Adobe Photoshop
Intro to Child Development
Child Growth & Development
Computer Appl. For Technology
Operating System Tech. for A+
Data Communications and TCP/IP
PC Servicing & A+ Preparation
Computer Programming Logic
Fundimentals General Drafting
AutoCad
Plant Growth & Development
Plant Reproduction
Targeting the Job Market
Job Seeking Skills
Machine Shop I
Machine Shop II
Machine Shop III
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
66
66
66
66
78
78
66
66
66
66
66
66
66
66
66
No Test Req.
No Test Req.
66
66
66
62-100
11
MCOM 125
OTEC 111
OTEC 112
OTEC 113
OTEC 114
OTEC 115
OTEC 117
OTEC 119
OTEC 120
OTEC 121
OTEC 140
OTEC 151
OTEC 211
OTEC 261
WEB 135
WEB 150
WELD 191
WELD193
Class
ENGL 131
MATH 131
MATH 145
MATH 132
MATH 235
MATH 171
Introductin to Broadcast Operations
Microsoft Word (Level 1)
Microsoft Excel (Level 1)
Microsoft Access (Level 1)
Microsoft PowerPoint (Level 1)
Microsoft Publisher
Microsoft Outlook
Keyboarding
Keyboarding/Formatting
Formatting/Word Processing
Proofreading/Transcription Skills
Introduction to Computer Skills
Microsoft Word (Level 2)
Adminstrative Assistant Internship
Web Page Design Essentials
Dreamweaver
Basic Welding
Arc Welding
Exemption Requirements
ACT Scores
ACT Reading Score of 18 or above
ACT English Score of 18 or above
ACT Math Score of 22 to 24
ACT Math Score of 19 to 21 and C or better in HS
Geometry
ACT Math Score of 22 to 24
ACT Math Score of 25 or higher
ACT Math Score of 25 or higher
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
66
66
66
66
66
66
66
No Test Req.
66
66
66
66
66
66
66
66
66
66
12
On-line Attendance and Grading
In The Portal
Portal Access
Go to: https://portal.lc.edu/
To log into the portal enter your BlazerNet ID and Password
* If you do not know your ID and Password contact the Help Desk at 618-468-4357
Once you log in your will need to select Faculty/Advisors
Then Select Attendance and Grading
You will need to select the term that you
wish to access (Ex. 2014 Fall)
13
Here is where you have access your Rosters for each of your classes.
When you log in for the first time:
Rosters
There are three types of rosters that you will have access to under Attendance and Grading. The three
are:
Verification Rosters
Midterm Rosters
Final Grade Rosters
All three are important.
Verification Rosters are used as an “early warning system” to correct registration issues before the
Midterm Rosters are due. Your LC Community Education Center Coordinator will be working
directly with you to accomplish this task. The Verification Roster is for viewing and NOT
intended for submitting.
Midterm Rosters are used for an Illinois state reporting requirement. IT IS IMPERATIVE THAT
THESE ROSTERS BE COMPLETED!!!
Final Grade Rosters are used to assign students final grades. These rosters must be submitted in a
timely manner so that students can view their final grade in your class, academic standing can
be calculated, and transcripts can be mailed to transfer institutions.
Availability of rosters: E-Mails will be sent to faculty as a reminder of the availability of their rosters.
They will be sent to your High School Email.
After grades are certified, grade changes must be submitted on a grade change form and
submitted to your LC Community Education Center Coordinator to be sent for approval.
14
Now, choose which option you want to view or complete (Verification Roster, Midterm Attendance, or
Final Grade):
Midterm Attendance Roster
15
You must provide information on those students that are no longer attending your class. Use XA for
those students who have never attended your class and NA for those students who attending at least once
but have stopped attending. If you enter XA or NA contact the LC CEC Coordinator.
The following box appears at the bottom of the roster:
This box must be checked prior to submitting the roster.
16
Final Grade Roster
1. Record grades A, B, C, D, or F in the Transcript Grade column. You can use the drop-down list.
Important Note:
All students must be assigned a grade or you will be unable to submit your roster. The only
exception would be if a student has a status of “Dropped”. You should not give a grade to that
student.
2. After giving each student a grade, check the bottom box “Check the box to certify grading” and
Submit.
Important Note:
Never give a student a W (withdraw). Students must be officially withdrawn prior to the LCCC
withdraw deadline. Contact the LC Community Education Center Coordinator to complete this
process.
17
Lewis and Clark Community College
HSP Academic Departments
2013-2014
Liberal Arts – Jill Lane, Dean
ART
ENGL, LITT
FREN, GERM, SPAN
HIST, POLS
HUMN
MUSI
PSYC
SPCH
Chris Brennan
Terri Hilgendorf
Leslie Funk
Kelly Obernefemann
Jill Lane
Louis Michael
Shannon Shepard
Elizabeth Grant
Wade 1103
Caldwell 5301
Caldwell 4300
Caldwell 3331
Caldwell 2333
Music Building 0114
Caldwell 5332
Caldwell 3303
cbrennan@lc.edu
thilgend@lc.edu
lmayerho@lc.edu
kobernue@lc.edu
jlane@lc.edu
lmichael@lc.edu
sshepard@lc.edu
eegrant@lc.edu
Doug Schneiderheinze
Mike Lemons
Kim Maynard
Cathy Carruthers
Steve Campbell
Melissa Batchelor
Caldwell 3309
Caldwell 1316
Baldwin 3431
Trimpe 0239
Trimpe 0247
Caldwell 3327
ddschnei@lc.edu
mlemons@lc.edu
kmaynard@lc.edu
ccarruth@lc.edu
scampbel@lc.edu
mbatchel@lc.edu
Science Building 0517
Nursing 0209
Commons 0221
dstair@lc.edu
abruha@lc.edu
tsteinma@lc.edu
Trimpe 0245
Trimpe 0150
Trimpe 0142
Trimpe 0138
Science Building 0415
grobeen@lc.edu
dmcclellan@lc.edu
ljumper@lc.edu
tjumper@lc.edu
jkmoss@lc.edu
Business – Jill Lane, Dean
ECON
MCOM
CDEV, JOBS
OTEC
CGRD, WEB
CHDV
Math/Science – Dr. Sue Czerwinski, Dean
BIOL, HLTH
CHEM
MATH
David Stair
Alan Bruha
Tom Steinmann
Technology – Dr. Sue Czerwinski, Dean
CIS
CNET
DRFT
WELD, MACH
ECOL, BIOL 138
Gene Robeen
Doyle McClellan
Luke Jumper
Travis Jumper
Scott Moss
30 Disciplines
22 Coordinators
4 Academic Divisions
2 Academic Deans
18
HSP Registration Procedure
1. The high school will provide high school class lists in August and January, of participating HSP
classes to the CEC Coordinator. HSP classes can be viewed online at www.lc.edu/HSpartnership
2. The high school will coordinate testing times with the lab personnel and instructors for the
classes needing testing and/or registering to the CEC Coordinator.
a. CEC Coordinator will register students who were successful on the LCCC placement test
after testing or those who have already tested appropriately.
3. CEC Coordinator will pick up any unused registration cards.
4. Deadline to register Fall students is mid-September. Deadline to register Spring students is
mid-February.
5. CEC Coordinator, High School Contact Person at the high school, and HSP Instructor will work
cooperatively to ensure each student is registered properly. (i.e. changes in registration, etc.)
CEC Coordinator High School Visits
The CEC Coordinators will be visiting their designated high schools frequently to provide hands on
instructions to HSP instructors, advise students, and answer questions as needed.
1. CEC Coordinator will arrange dates for high school visits with H.S. Contact Person. Dates will be
scheduled throughout the year.
2. A poster is recommended to notify students and instructors of the visits. A poster has been
included on the following page. In addition, a sign-up sheet and a designated room with
computer access are suggested.
19
Early Start Program
1. The High School Contact Person to provide a list to CEC Coordinator of Interested seniors by
early October for the Spring semester and early April for the following Fall semester, who
meet the criteria of the program.
2. The High School Contact Person and CEC Coordinator will arrange testing and start
registering students at the high school in November for the Spring semester and March for
the following Fall semester.
Early Bird Registration
1. Assistant Director of Admissions along with the CEC Coordinators/Manager will arrange
student registration dates and times for the high School with the H.S. Contact Person.
2. High School Contact Person to provide a list to the Assistant Director of Admissions no later
than the deadline discussed of interested seniors who are planning to attend LCCC in the
Summer or Fall.
3. LCCC Academic Advisors and CEC Coordinators/Manager will test and register students on
the LCCC campus during the agreed upon times.
20
HSP Contract/Renewal Procedures
END of Each School Year
1.
2.
3.
4
To be reviewed with Principal and Instructor
Principal signs
the Contract Agreement with a copy of HSP classes taught for the
upcoming year. These will be mailed to the principal, completed, and mailed back to LCCC.
Principal signs
the Lab Lease Agreement and marks the number of labs to be used. CEC
Coordinator will deliver and pickup to send to LCCC.
Instructor signs the Course Renewal Forms, reviewing the classes and recording any changes.
CEC Coordinator will deliver and pickup to send to LCCC. (Note: Any high school
curriculum/course changes must be re-approved by the appropriate LCCC Coordinator/Dean.
Please contact your CEC Coordinator to begin the process.)
CEC Coordinator will remind instructors to complete course outlines and grades before leaving
for the summer.
ALL FORMS NEED TO BE RETURNED BY THE END OF THE ACADEMIC SCHOOL YEAR
Instructors: Please review Course Renewal Forms carefully: (see number 3 above)
(Note: LCCC curriculum changes will be listed in red on the renewal form for listed
course.)
1.
2.
3.
4.
5.
Check course semester FALL only, SPRING only, or YEAR
Name of HS course
Make sure all forms are signed
Approval procedure will begin at LCCC
Copies will be mailed or hand delivered to schools
If a new instructor will be teaching for a previously approved instructor, the new
instructor will need to obtain new hire paperwork to be approved.
Amy Underwood
LCCC-Fobes 2500
5800 Godfrey, IL 62035
(618)468-5051 * (618)468-7187 FAX
21
“Empowering People”
BRIEF OUTLINE FOR HSP COURSE RENEWALS
(This form is required for Renewal – Please complete ALL items on this form.)
SCHOOL NAME
«School_Name»INSTRUCTOR
«Instructor»
LCCC COURSE NUMBER & NAME: «LCCC__» - «LCCC_Name»
HIGH SCHOOL COURSE NAME:
«High_School_Course_Name»
SCHEDULE OF INSTRUCTION for 2013-14:
Fall ONLY _____
Spring ONLY _____
Year Long _____
Begin Date: ___________
Begin Date: ___________
Begin Date: ___________
End Date: ___________
End Date: ___________
End Date: ___________
MATERIALS OF INSTRUCTION: Must be completed
Textbook(s) Used:
Software Used
METHODS OF STUDENT EVALUATIONS:
(Assignments, quizzes, exams, research, etc.)

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________
__«X» ___LCCC Curriculum Changes
«Curriculum_Changes»
_____Course Information Changes.
(Any changes in content, materials and/or instructor requires notification to Lewis &
Clark and submission of the appropriate documents for the renewal review process.)
_____ No Anticipated Changes.
(Since there are no anticipated changes at either institution, we confirm that all the
requirements and conditions of the previously approved arrangement will be met.)
______ Will Not Teach this Course 2013-14. (Please check if applicable)
If no changes have been made, all blanks completed and you wish to continue the partnership
arrangement for this course, simply confirm by marking the correct statement above and sign
below.
_____________________________________________
_____________________
High School Instructor
Date