BethelSchool District

New Course Proposal Form

BEFORE YOUR START! To insert text in the white text boxes, click on the left side where the first word would appear. Begin typing once you see a colored or black box. To make a check mark, just click on top of the check box.

SECTION A: New Course Information

Proposed Course Title(to insert text, see directions at beginning of form)
Credits / Credit Length
Elective / Social Studies / Fine Arts / Semester (0.5)
Comm. Arts / Science / Occupational Ed. / Full Year (1.0)
Mathematics / Health & Fitness / Careers / Repeatable
Career Pathway / Grade Level(s)
Business & Marketing / Engineering & Technology / 7 / 10
Health & Human Services / Science & Natural Resources / 8 / 11
Arts & Communication / 9 / 12
Pre-requisite course (to insert text, see directions at beginning of form) / Request NCAA
Yes / No
Course Description (for use in course catalog) (to insert text, see directions at beginning of form)

SECTION B: Proposal Author(s) and Approvals

Proposed by: / Department / School

First Step Approval (signatures)

Dept. Chair: / Date:
Principal: / Date:
District Director*: / Date:

*District Director signature is required for subject areas where there is a district director such as Health & Fitness, Fine Arts, and CTE.

Final Approval (for CRT use only)

Approved / Course Code / Not Approved / Date of Meeting
Committee Notes:

Section C: Course Rationale

  1. What student learning need is met by offering this course?
    (to insert text, see directions at beginning of form)

  1. How does this course align to the goals of current district reform efforts? (i.e. MMGW, HSTW, Curriculum & Instruction efforts, New adoption)
    (to insert text, see directions at beginning of form)

  1. How does this course align to the goals of current state and/or national reform efforts?
    (to insert text, see directions at beginning of form)

Section D: Course Demand and Impact

  1. Who is the targeted student population? (to insert text, see directions at beginning of form)

  1. What is the estimated student demand for this course? Explain the reasoning for your estimation.(to insert text, see directions at beginning of form)

  1. Describe the impact that offering this course will have on other courses offered at your school. What are the anticipated courses that will not be offered in order to offer this course? (to insert text, see directions at beginning of form)

  1. What staffing will be required? Is there any specialized certification needed?
    (to insert text, see directions at beginning of form)

  1. What facilities will be needed? (to insert text, see directions at beginning of form)

Section E: Costs
Start-Up Costs

ITEM / AMOUNT / EXPLANATION of ESTIMATE / FUNDING SOURCE*
Texts / $
Supplies & Materials / $
Capital Outlay / $
Additional Staff / $
Teacher Training / $
TOTAL / $ / *Examples of funding sources: School FTE, School Budget, proposed District Funds, Grant, etc. The CRT does not approve district funding.

Ongoing Costs

Please describe any ongoing costs that will occur to offer this course. This can include consumable curriculum and supplies, staff training, additional student demand, etc. Indicate the funding source.

Section F: Standards and Curriculum

Are there any recommended instructional materials for this course? Are these materials currently on the approved list for the district?

REQUIRED ATTACHMENT: Please provide outline of the course topics and its alignment to state standards / performance expectations. This alignment must be shown for all subject areas in which credit could be earned with this course.

Section G: Other Notes
If you need to add any other comments for the Curriculum Review Team that are not addressed in your answers to the above questions, please do so in this section:

BethelSchool District: New Course Proposal Form -- pg 1 of 3