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Continuing Education Course Request

Forms are submitted to Professional Development. Following a review of the request, you will be contacted with a decision and potential next steps. Approved requests are prioritized and added to the program schedule as time and resources allow.

Questions?
Contact Us
pd@methodistcollege.edu
(402) 354-7100

Today's Date (MM/DD/YY) *

First Name *

Last Name *

Email *

Phone *

Facility & Department *

Is this need: *

Other: please describe *

What is the learning gap:

Knowledge: *

Skills: *

Attitude: *

Provide any additional information about the requested project (length, topic specifics, etc *

Target Audience *

Approximate number of participants *

Is there a required date? If so, why this date? *

What is the program goal? *

What is the intended outcome? *

What are the financial considerations (costs, possible funding support, etc)? *

Is this intended as a live offering or online offering? *

What are the consequences if not approved? *

How else could the need be met? *

Is this a high enough need to consider replacing an existing program on the schedule? If so, provide info regarding which program and why. *

Is this a onetime need or will the need continue in the future? Explain. *

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