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ZIMMERMAN SCHOOL Staff Development - Course Work Approval for Lane Change

Please complete the form below. Required fields marked with an asterisk *

ZIMMERMAN SCHOOL STAFF FORM

STAFF DEVELOPMENT COURSE WORK

APPROVAL FOR LANE CHANGE

This form must be submitted PRIOR to beginning your course.

Any requests submitted after the course begins will NOT be accepted.

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Phone*

Number Required

Grade or Subjects Taught*

Answer Required

Please give the following information about the course for which approval is requested.

Course Name*

Answer Required

Number of Credits for Semester*

Answer Required

Course Number*

Answer Required

University or College Name*

Answer Required

Date Course Is To Be Taken (Example: Fall 2024)*

Answer Required

Brief Description of Course (10 words or less):*

Answer Required

Briefly state why this course would benefit you as a teacher in your current position: (1 or 2 sentences)*

Answer Required

Is this course part of your approved degree program?*

Answer Required

YES

This form will be submitted to the ZIMMERMAN SCHOOL PRINCIPAL for Final Approval

Confirmation Email

Confirmation Email *

Email Required