ARTICULATED CREDIT COURSE APPLICATION
100 College Drive ● Kankakee, IL 60901-6505 ● 815-802-8816 ● FAX: 815-802-8101
ONE FORM PER COURSE, PLEASE.
This form is to be submitted to KCC for approval no later than May 30 prior to the upcoming school year for
both fall and spring semesters for dual credit courses. Articulated credit is for the following courses only MATH
1113 - Tech Math I, MATH 1123 - Tech Math II, MATH 1414 - Basic Algebra and MATH 1424 - Intermediate
Today’s date: _____________________________
High school: _________________________________________________________________
High school instructor: _________________________________________________________
Phone number: ___________________________
Instructor’s high school email: ___________________________________________________
Applying for this articulated course (choose one)
❒ MATH 1113 - Tech Math I ❒ MATH 1123 - Tech Math II
❒ MATH 1414 - Basic Algebra ❒ MATH 1424 - Intermediate Algebra
Requesting for school year __________________
Semester(s) to offer dual credit course?
❒ Fall ❒ Spring
How many sections will you offer per semester? (choose one)
❒ 1 ❒ 2 ❒ 3
❒ Attach a copy of the dual credit course syllabus.
❒ If a new instructor, attach a copy of post-secondary transcripts to verify teaching credentials. Transcripts do
not have to be sent if they are on file at KCC.
I agree to abide by the policies and procedures related to teaching courses for KCC articulated in the dual
credit manual, including grading standards and course outcomes. I understand that no compensation will be
provided to me by KCC for any services in the Dual-Credit Program.
Instructor Signature: __________________________________________________________
OFFICE USE ONLY
_____ Final grades received and sent to registrar
_____ Copy of final grades given