Funderburk Building, 521 Lancaster Avenue
Richmond, Kentucky 40475-3102
(859) 622-6218
Fax No. (859) 622-5943

CURRICULUM DEVELOPMENT FORM
curriculum title

Course Number(leave Blank)

/ Course Hours
Completed by (Name) / Affiliation/Organization
Place “X” for Appropriate Status (only one)
/

New

Revised

Recertified with Changes

Recertified w/out Changes

/
Approval Date: / Effective Date:
Name the training school presenting the training course:
Name of School
Address of School
Signature of Chief Administrator of training school submitting curriculum for approval.
Signature of Chief Administrator
Printed Name, Title

KENTUCKY LAW ENFORCEMENT COUNCIL

CURRICULUM DEVELOPMENT FORM

Class Level:
Method of Testing:
Course Description:
For KLEC Purposes Only
Skills / Human / Conceptual
Title of Course

Schedule For Week #1

Day of Week / Start Time / Scheduled Block
Day of Week / Start Time / Scheduled Block
Day of Week / Start Time / Scheduled Block
Day of Week / Start Time / Scheduled Block
Day of Week / Start Time / Scheduled Block

2

Title of Course

Objectives

Each block of instruction listed on previous page must be listed in outline form with hours, description and bibliography. There must be an objective that matches each block of instruction. Each objective should reflect the minimum requirement and/or criteria to successfully complete the course. See below for a written test. A rubric would involve an explanation of the criteria used to pass the course in accordance with the rubric used.

See example below:

16. Test and Course Critique (1 Hour)

16.1  The student, given a standard form, will complete a written critique of the course, in accordance with DOCJT rules and regulations.

16.2  Without reference, she student will successfully complete a written course examination with a minimum score of 70%.

BIBLIOGRAPHY

(This is mandatory for KLEC approval)

REVISION PAGE

This is to be completed on any submission with the status of Revision or Recertification with Changes.

Date / Original / Revision / Reason

2