Pasco County Schools Course Adoption Form for the 22-23 School Year

FOR EACH COURSE YOU WISH TO ADOPT, YOU MUST COMPLETE A SEPARATE MACH FORM.

Goal: To provide a list of School Board approved courses which allow students access to required and optional curriculum needed to be college, career and life ready.

Purpose: To ensure that adopted courses are supported with legislative guidelines, assessment requirements, district services and curriculum resources.

Procedure: District or school based staff identify need for a course and complete the Course Adoption Form. The form is reviewed by the appropriate content specialists, ARM, and the Elementary/Secondary Design Team.

Course Title
Semester Long Year Long
Course Code #
What type of course is this?
For CTE Courses: What is the CTE/Vocation Program Number?
School / Department
Contact Person
Principal / Supervisor
Has your Supervisor/Principal approved this request?

Has your Supervisor/Principal approved this request? Yes No
Has your Assistant Superintendent approved this request?

Has your Assistant Superintendent approved this request? Yes No
Is this course available in the Florida Course Code Directory?

Is this course available in the Florida Course Code Directory? Yes No
Does this course qualify for Bright Futures?

Does this course qualify for Bright Futures? Yes No Not Applicable
Does this course exist in myStudent coded with a “Z”?

Does this course exist in myStudent coded with a “Z”? Yes No
Does this course require a prerequisite?

Does this course require a prerequisite? Yes No
If yes, specify:
If this is an Industry Certification course can it substitute for a required Science or Math course? (High School Only)

If this is an Industry Certification course can it substitute for a required Science or Math course? (High School Only) Yes No
Will this course earn students weighted points?* (HS Only)

*Weighted courses must be identified as Level 3 in the State CCD and reflect a high level of rigor (you may be asked to explain how this course meets the rigor standard).

Will this course earn students weighted points?* (HS Only)

*Weighted courses must be identified as Level 3 in the State CCD and reflect a high level of rigor (you may be asked to explain how this course meets the rigor standard). Yes No
Credit earned for successful completion of this course will meet the graduation requirement of the following area.

Credit earned for successful completion of this course will meet the graduation requirement of the following area. Elective Fine Arts Science Math ELA P.E. Social Studies Not Applicable
Explain how the standards will be met through this course.
Identify the course assessment that will be used.

Identify the course assessment that will be used. State Assessment Purchased Assessment Local Assessment Other Other
If necessary, are you willing to develop an assessment for this course?

If necessary, are you willing to develop an assessment for this course? Yes No
What is the need for adopting this course?
If you chose other in the above question, state your need for the adopting the course here.
How does this course support your School Success Plan?
School based supports for this course:

Do you have funds to purchase/develop the instructional materials needed to support this course? If so, which funding source will you be using?

How will your school support the creation of an assessment for this course, if needed?
What certification is required to teach this course?
Is additional training required to teach this course?

Is additional training required to teach this course? Yes No
If Yes, Specify
Are there enough qualified/certified teachers at your school to teach this course and sustain teaching this course over time?

Are there enough qualified/certified teachers at your school to teach this course and sustain teaching this course over time? Yes No
Are textbooks required for this course?

Are textbooks required for this course? Yes No
Estimated cost per textbook $
Are there lab costs required for this course?

Are there lab costs required for this course? Yes No
Are digital tools required for this course?

Are digital tools required for this course? Yes No
Will additional digital tools need to be purchased?

Will additional digital tools need to be purchased? Yes No
If Yes, what are the estimated additional costs? $
Will student fees be required for this course?

Will student fees be required for this course? Yes No
Are there any additional fees associated with adopting this course?
How does adding this course impact other course offerings at your school?
How many students do you project will enroll in this course?
How was this determined?
Date Request Submitted: Date Request Submitted: / MM / DD YYYY
Date reviewed by Course Approval Committee: Date reviewed by Course Approval Committee: / MM / DD YYYY
Committee outcome:

Committee outcome: Approved Not Approved
Course Approval Committee comments.
Date scheduled for School Board approval: Date scheduled for School Board approval: / MM / DD YYYY