2015-2016
Curriculum Meeting
Dates:
September 9
October 7
November 4
December 2
January 6
February 3
March 9
April 6
May 4

BristolTownshipSchool District

NEW COURSE APPROVAL FORM

(Due to Curriculum One Week before Meeting)

Date: ______

Department Chairperson: ______

Department: ______Building: ______

Proposed Course Title: ______Grade Level: ______

Course Length: ______Credits: ______

Requirement/Elective: ______

Meeting Frequency: ______

Anticipated Enrollment: ______Prerequisites:______

______

Principal’s Approval: ______

Comments:

Review & Discuss Within the Departments – Date: ______

Comments:

Review & Discuss Within the Building between Departments – Date: ______

Comments:

Supervisor of Curriculum and Instruction’s Approval - Date: ______

Comments:

School Board Curriculum Committee Presentation Date: ______

Board of Education Approval Date: ______

  1. COURSE INFORMATION
  1. Rationale for Course: (Provide a brief description of student/school needs/purpose of course, benefits, and anticipated student outcomes.)

B.Course Description: (Short descriptive paragraph highlighting the major focus of course. To be used for course offering catalog.)

C.Course Outline: (Attach course outline which includes the major topics and concepts.)

  1. Materials & Resources: (Include text, computer/technology tools, and supplementary information.)
  1. Instructional Methods: (Check applicable ones and explain wherever necessary.)

Which of these are used: Check with “X”

 Lectures Demonstrations Field Trips

 Discussions Term Papers Check Quizzes

 Special Reports Extra Reading Individual Study Contracts

 Laboratory AV Materials Other ______

(Hands-On)

  1. Student Evaluation Procedures:
  1. Financial Impact: (Provide an explanation of projected costs for personnel, materials, and equipment for subsequent years when the proposal is fully implemented.)
  1. Financial Impact: (First Year)

Added PersonnelHow ManyApprox. CostTotal Cost

Professional______$______$______

Non-Professional______$______$______

(Assistants, secretarial, etc.)

Added Materials

Textbooks______@$______=$______

Supplies$______

Added Equipment Needed:

List/Cost:______@$______=$______

______@$______=$______

I.Explain how this new course will correlate with Pennsylvania State Academic Standards and/or district remediation plans.

  1. OTHER PERTINENT INFORMATION
  1. This course will be: (please check one)

an addition to the department’s offering

a replacement for ______

a pilot study

  1. This course will require (please check the appropriate spaces):

the adoption of a new textbook

the use of a text previously adopted and in use

Other ______

C.What course(s) could be deleted if this curriculum change is adopted?

D.If approved, this course will begin:______

(semester/year)

mg/mg Rev. 11/15

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