Eden Prairie Schools - Request for Program Approval
Request for Program Approval
Organization:
Eden Prairie Schools
Assigned To:
Public User
Show History
EMPLOYEE INFORMATION
Full Name:
Full Name: required
Employee Number:
Location:
Cedar Ridge Elementary
Central Middle School
District-wide
Eagle Heights Spanish Immersion Elementary
Early Childhood
Eden Lake Elementary
Eden Prairie High School
Forest Hills Elementary
Oak Point Elementary
Prairie View Elementary
Valley View (ALC, EPO, TASSEL)
Location: required
Grade Level / Subject(s) Currently Teaching:
Grade Level / Subject(s) Currently Teaching: required
To be approved, the program must be from a fully accredited college/university that grants teacher licensure and be germane to your teaching assignment.
For reference, Distrct Policy 402.3 Request for Course Approval/Lane Change can be found by following this link:
https://team.edenpr.org/forms/business-office/~board/hr-forms/post/lane-change-policy
Name of college/university:
Name of college/university: required
COURSE INFORMATION FOR APPROVAL
Number of credits:
Number of credits: required
Please provide a link to the course syllabus or website for more information.
Please provide a link to the course syllabus or website for more information. required
Please include any information that you feel would be helpful to those reviewing your request.
Please select your supervisor from the dropdown to allow the form to be routed to them for approval:
Amy Peterson
Andrea Skiba
Brett Lobben
Caleb Willis
Cedric Fuller
Heidi Miller
Hernan Moncada
Jaysen Anderson
Joel Knorr
Lomumba Ismail
Mariah Pringnitz
Mary Bartusek
Michael Ongie
Nick Kremer
Ryan Eggers
Theresa Marty
Tiffany Grams
Victor Johnson
Please select your supervisor from the dropdown to allow the form to be routed to them for approval: required
Your email @edenpr.k12.mn.us
Please type carefully, as this address is where you will receive notification of the form completion. An incorrect email address will result in the form not being routed back to you.
Your email @edenpr.k12.mn.us
Please type carefully, as this address is where you will receive notification of the form completion. An incorrect email address will result in the form not being routed back to you. required
Signing
Signature is required
By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.
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History
Step:
Employee fills out form
Sent To: Public User, On:
4/29/2026 4:47:50 PM Central Standard Time