A	B	C	D	E	F	G	H
1	Course: Title			Department:	Curriculum and Assessment			TOTAL by June 30, 2007
2	Location:	Your Building
3	Clock Hours: 6	Up to 20 or actual time
4	Instructor: Your name		___________________________________
5	Meeting Time(s):Varying or real time						DATES below and TIMES above
6	Location or Varying
7
8	Number of registrants:					(Y/N)
9	Employee ID	Name	Location	Classification	Signature	Clock Hours