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Customized Course Request Form

Requester's Name(Required)

Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
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To whom are you submitting this request?(Required)

Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
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Course/Class Information

What attributes are associated with the class? All classes will receive an attribute of WDS(Required)









COURSE SCHEDULE INFORMATION

Chesapeake
Norfolk
Portsmouth
Regional Workforce Development Center
Virginia Beach
Visual Arts Center
Other

CLASS SECTION CODE

The following three sections will build your Class Section Code. Rule: The first letter of the section is the type of class being scheduled; the second and third letter of the section is the number; the fourth letter of the section is the campus location.
D - Day Class
N - Night Class (begins after 4:30PM)
W - Weekend (Fri, Sat, Sun)
O - Online
L- Lab
U - Compressed Video
U - Dual Enrollment
S - Service Learning
T - Telecourse
Select date
MM slash DD slash YYYY

Select date
MM slash DD slash YYYY

Select day(s) class will be held(Required)







Name of course instructor(Required)

Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.








Select One
600000100517 - Academy for Nonprofit Excellence
600000100500 - CE Automotive
600000100501 - CE Food Service Management
600000100502 - CE General
600000100503 - CE Health Science
600000100504 - CE Industrial Technology
600000100505 - CE Information Technology
600000100506 - Maritime Training
600000100507 - CE Motorcycle Rider Training
600000100508 - CE Social Sciences
600000100509 - CE Job Skills Training Program
600000100510 - CE Best Keys
600000100511 - CE Work Keys
600000100512 - CE GED
600000100513 - CE EMS
600000100514 - CE ALS Training Program
600000100600 - CE Interactive Lab
600000100601 - CE General Continuing Education
600000100602 - CE General Corporate Services
600000100603 - CE Ford Employee Program
600000100700 - Military Sciences
600000100701 - CE Portsmouth
600000100702 - CE Virginia Beach
600000100703 - CE Chesapeake
600000100704 - CE Norfolk
600000100800 - CE Ship Building and Repair
Which of the following items need to be created for this course?