Organization Application for Code Credit Course Approval

Organization Application for Code Credit Course Approval
Are you an individual or an organization submitting this request?
Solicitation Allowed?
- Course Title:
  Code credit can only be given to classes based in construction codes adopted by Johnson County jurisdictions.
- Course Description
- Is this course online?
- Please upload virtual learning guidelines
  
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- Online Course Approval Requirements
  - Student participation must be monitored (i.e. every participant must be visable by camera)
  - Students must be able to ask questions of presenters
- Is this a self-paced course?
- WE DO NOT ACCEPT SELF-PACED ONLINE COURSES OR WEBINARS
- What platform will you use to host this online training?
  
  Other
- Year & Code Book Referenced:
- Year of Code Book Referenced
- Code Book Referenced
- Code Section/Chapter/Article Taught:
- Sponsoring Organization:
- Contact Person:
- Mailing Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone:
  Please enter a valid phone number.Format: (000) 000-0000.
- Email:
  example@example.com
- Location of Course:
- Course Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Is this course ongoing or have multiple dates?
- Date of Course:
  
  MonthDayYear
- Please enter the dates and time of the course:
- Please enter the dates and time of the course:
- Hours of Instruction:
- How long have you been providing online courses?
- Has this course occurred?
- Please Note: Roster must have First and Last Name, date of class, number of hours attended, company name, and company license number.
- Provide Course Roster
  
  Roster must include participant name, license number, and at least one check-in per 2 hours of instruction.
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- Provide Sample Certificate of Completion
  
  Sponsoring organization name and address, title of the class, date(s) of attendance, number of contact hours awarded, signature of individual responsible at sponsoring organization, name and license number of the participant.
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- Name:
  
  First NameLast Name
- Instructor's Biography and Resume:
  
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- Instructor's Resume
  
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- I certify that all information provided is true to the best of my knowledge.
- Additional Documents
  
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- Should be Empty:

Organization Application for Code Credit Course Approval

WE DO NOT ACCEPT SELF-PACED ONLINE COURSES OR WEBINARS