Fillable College Credit Plus Instructor Application Process Checklist (Cincinnati State Technical and Community College)

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College Credit Plus Instructor Application Process Checklist (Cincinnati State Technical and Community College)

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College Credit Plus Instructor
Application Process Checklist
Cincinnati State Techncial & Community College
Office of Off-Campus Programs
3520 Central Parkway, Main 146
Cincinnati, OH 45223
www.cincinnatistate.edu/ccp
The following checklist is provided for your convenience. This sheet addresses the process for
application to serve as an Instructor in the Cincinnati State College Credit Plus Program when
requesting to offer a college course at the high school location.
Applicant should submit:
_____ Instructor Approval Request Form
_____ Resume
_____ Transcripts (These can be copies of transcripts in your District HR file.)
Instructor applicants should review the Ohio Board of Regents credential requirements
carefully and be sure their application materials prominantly document those credential
standards.
Upon receipt of these documents by the Office of Off-Campus Programs, the packet is sent to
the Faculty Coordinator in the appropriate Cincinnati State academic division. Based on the
academic qualifications of the applicant and the materials submitted, the Faculty Coordinator
will determine the applicant’s eligibility and the candidate will be notified of next steps.
Applicants should return completed forms (by mail or email) to:
Lorrie Cox, Operations Manager Off-Campus Programs
Cincinnati State Technical & Community College
3520 Central Parkway
Cincinnati, OH 45223
lorrie.cox@cincinnatistate.edu
513-569-4988
Dual Credit College Course Instruction Standards
CState ID # _____________________
Network Request _______________
Street Address
City
State
Zip
(For HR appointment processing)
City
State
Zip
College Credit Plus HS Instructor Approval Request
(Complete and attach this form to instructor resume and transcripts)
Date: Instructor Name:
Proposed Course(s) to be offered at the High School:
High School Course Name (if applicable):
Home Mailing Address:
Phone (Daytime): (Cell):
Email:
Date of Birth: Social Security Number:
Name:
Mailing Address:
Phone: Principal Name:
Optional – Would you be interested in also being contacted about serving as a regular adjunct faculty
on campus? _____ Yes _____ No
This cover sheet is to be attached to the HS instructor resume for review and approval as a College Credit Plus instructor at
Cincinnati State. Please phone the Office of Off-Campus Programs at 513.569.4988 with questions.
Faculty Supervisor Certification/Approval: I have reviewed the attached instructor request to teach in the College
Credit Plus program at Cincinnati State. After carefully reviewing the instructor qualifications:
_____ The instructor is preliminarily approved
_____ I would like to request additional documentation (e.g., transcripts)
Specify _____________________________
_____ I deny the instructor request because
Approving Signature: ___________________________________________ Date:
CCP Form – Instructor Approval Cover Sheet
Instructor Information
High School
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Completed 2 October 2020

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