A	B	C	D	E	F	G	H
1	Course:			Approved:
2	Location:			Department:
3	Clock Hours:			Number of Participants:		Total Hours by May 15, 2008
4	Instructor:
5	Meeting Time(s):
6
7				(Y/N)			Dates:
8	Empl ID	Name	Location	Classification	Clock Hours	Signature