Fillable Add-on Request Form-2

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Add-on Request Form-2

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Completed by Facilitators or Administrators Only
Continuing Studies Add-On Request Form
Course Number
Course Title
Prerequisites
Class Dates
City/Online
Location Address
Facilitator
Application fee ($25) required for unclassified students?
Cost for books/materials
Course Description
Special Circumstances
Please note "Special Circumstances" such as extended registration dates, class meets on varying
days such as Tuesday one week and Friday the next week, etc.
Please send to deana.simpkins@indwes.edu at least 8 to 10 weeks before
the class start date.
Updated 10/17/06
Credits
Facilitator will be paid as
part of teaching load
See Instructions on page 3.
Tuition Costs
Submit by Email
Print Form
Students Requesting This Course
This will not register you for this course.
An official registration form will be sent when the class has been added
to the schedule. A minimum of eight (8) students is required to add a course.
1. Name
e-mail address
2. Name
e-mail address
3. Name
e-mail address
4. Name
e-mail address
5. Name
6. Name
e-mail address
e-mail address
e-mail address
7. Name
8. Name
9. Name
10. Name
e-mail address
e-mail address
e-mail address
e-mail address
e-mail address
12. Name
11. Name
Due Date:
This request is due eight (8) to ten (10) weeks before the projected class start date.
There must be a guarantee of no fewer than eight (8) students.
Course Number
Find the course number and title on the list of IWU electives. See
http://www.indwes.edu/Adult-Graduate/Graduate-Electives/ for more information.
Credits
All courses are three credits unless otherwise specified.
Prerequisites
A bachelor's degree is the prerequisite for a course unless otherwise specified in
the IWU electives list. Check the course descriptions for more information.
Class Dates
List every date that the course meets. Do not just put in a range of dates.
City/Online
Fill in the complete information on the site. If you are not using an IWU Education
Center, we will approve the site.
Special Circumstances
Note any special circumstances, such as the course is being taught during the entire
school year, or is onsite with a Blackboard component.
Facilitator
Students may request a facilitator OR a facilitator may request a course.
For Facilitators and Administrators Only
Payment Information
If you are a facilitator requesting a course, fill out the payment information.
Tuition and Books Costs
Tuition and book costs for current courses can be found on the website. For other
courses, if you wish textbooks or other resources for your class, you will have
to advise students to purchase those on their own.
Application Fee
All students who have never taken a course from IWU must pay a $25 application fee so
the answer to this question is usually "yes." However, under certain circumstsances,
this may be waived and in this case, you will be notified.
Course Description
The course description is found in the Graduate Education Electives Schedule or at
http://www.indwes.edu/Adult-Graduate/Graduate-Electives/.
Student Names
Please include the names and year-around email addresses of at least eight (8) students who are
committed to taking the course. This does not register them for the course. An official registration
form will be sent when the class has been added to the schedule.
Registration forms are due thee weeks before the expected start date of the class.
Instructions for the Request Form
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Email
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Add-on Request Form-2

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Completed 17 November 2019

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