Dual Enrollment Course Request
(courses offered at high school campus)
Spring 2016
Requests must be submitted to Director of Dual Enrollment: Mandy LaCerte; lacertea@mybrcc.edu or 225.216.8069 (f)
Date:
Dual Enrollment School Contact
:
High School
:
Dual Enrollment Contact Email
:
Principal
:
Principal Email Address
:
Course Request(s):
College Course Title
College
Course
Credit
Hours
High School Course Title High
School
Course
Units
# of
students
Instructor to be
Provided by
BRCC
Online Course
Preferred
ENGL 101 3 English III 1 18 Yes
*
BRCC dual enrollment does not guarantee fulfillment of requests to provide instructor(s) or online course(s). Each is subject to personnel
availability. Once this request is submitted, BRCC will work expeditiously to communicate approval/denial of each request. The minimum number of
students needed to provide a Face2Face instructor at the school’s site is 18. The maximum enrollment for online courses at each school site is 24.
Instructor Request(s): (to be completed by school’s using high school instructor for DE course at school site)
High School Instructor
Name
Certification Area Previously Credentialed by
BRCC Dept. Chair
Approved
To be completed by BRCC
Jane Doe English 6-12 No
High School Representative Signature Date Director of Dual Enrollment Date
All instructors must be approved by Baton Rouge Community College (BRCC) department chairs prior to
the start of each semester.
Prospective Instructors must:
Submit unofficial transcripts AND contact information form immediately
Provide official transcripts to support Master’s Degree 18+ graduate hours in subject within 10 days of submitting this
form (request e-script delivery to lacertea@mybrcc.edu )
Technical Course Instructors: provide proof of credential or certification for technical course
Provide additional information as requested by BRCC Office of Dual Enrollment
Submit all documentation to: Mandy LaCerte, lacertea@mybrcc.edu
201 Community College Drive
Magnolia Bldg., Room 121
Baton Rouge, La 70806
