Individual Application for Code Credit Course Approval

Individual Application for Code Credit Course Approval
Name:

First NameLast Name
Contact E-mail:
example@example.com
Company Name:

First NameLast Name
Company License Number:
- 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
  
  Cancelof
- 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 was used to host this online training?
  
  Other
- Year & Code Book Referenced:
- Year Code Book Referenced:
- Code Book Referenced:
- Code Section/Chapter/Article Taught:
- Sponsoring Organization:
  Also known as the company who is teaching this class
- Email:
  example@example.com
- Course Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- What day was the class taken?
  
  MonthDayYear
- Please enter the dates and time of the course:
- Please enter the dates and time of the course:
- Hours of Instruction:
- Provide Copy 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.
  Cancelof
- Name:
  
  First NameLast Name
- Instructor's Biography and Resume:
  
  Cancelof
- I certify that all information provided is true to the best of my knowledge.
- Should be Empty:

Individual Application for Code Credit Course Approval

WE DO NOT ACCEPT SELF-PACED ONLINE COURSES OR WEBINARS