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Notification of Course Offering Form

Planning on offering a CU Succeed course during the 2012-2013 Academic Year? Submit this form to let us know! To ensure accuracy, please fill in every field correctly. Send your updated syllabus to Fatimah.Ben-Masaud@ucdenver.edu.

Course Notification Due Dates
Fall 2012 and Year Long: May 15
Spring 2013: October 15

If you have not applied to teach in the CU Succeed Program, do not submit this form yet. Application information is located on the Instructor Homepage.

Fatimah Ben-Masaud
303-556-4384
Fatimah.Ben-Masaud@ucdenver.edu

First Name*
Last Name*
Home Address*
City*
ZIP*
Home Phone
Office Phone*
Email*
Voice Mail
Name of High School*
County of High School*
Address of High School*
City of High School*
Zip Code of High School*
Term*Fall
Spring
Term Year (2001, 2002, etc.)*
Course 1 - Dept/Course #*
Course 1 - Title*
Course 1 - Days/Time*
Course 1 - Start Date*
Date
Course 1 - End Date*
Date
Course 2 - Dept/Course #
Course 2 - Title
Course 2 - Days/Time
Course 2 - Start Date
Date
Course 2 - End Date
Date

CU Succeed | Office phone: (303) 556-6140 | Fax: (303) 352-3970

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