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                SUMMARY SHEET

Fund For Education And Human Services - Projects in Education 1234 Massachusetts Ave., NW, Suite 113, Washington, D.C. 20005 Phone: 202-393-4919 FAX: 202-393-3914 Projectsineducation@msn.com www.ProjectsInEducation.org
Print this page. Complete this form and the Course Narrative when seeking approval for a new course. Use the Summary Sheet only, when reapplying for courses already approved.
Date of Request __________________ SESSION: __________/__________/__________/__________ Fall Spring Summer Year COURSE NAME_________________________________________________________________ CREDITS ______________________ NUMBER OF CONTACT HOURS ________________ UNIVERSITY COURSE NUMBER ___________________________________________________ TRAINING SITE(S) ___________________________________________________________ DATES FOR COURSE: Starting Date ____________________ to ____________________ ANTICIPATED DATE GRADES WILL BE AVAILABLE ___________________________________ INSTRUCTOR(S) ______________________________________________________________ ADDRESS ____________________________________________________________________ PHONE _________________ FAX__________________ E-MAIL________________________ COURSE OFFERED BY __________________________________________________________ School, Office, Institution, Program, etc. COURSE PLANNER(S)___________________________________________________________ TITLE(S)____________________________________________________________________ ADDRESS ____________________________________________________________________ PHONE: ________________ FAX__________________ E-MAIL _______________________ Complete and return this form to the address above. _____________________Do Not Write Below This Line___________________________ COURSE APPROVAL/Catholic University of American _____________ Date