High School Name

Program Course

Delta College Letter of Intent

New or Formal Articulation Request
Students may articulate up to 50% of the core (major) credits required in a Delta degree program.
To be signed by Delta Faculty

Delta Course Code & Name (Can be found at http://www3.delta.edu/catalog/courses.asp)

Approved

*Not Approved

Necessary paperwork needed for the review process

Teacher
Submitted

Delta
Received

Requested Supporting Documentation

Completed Letter of Intent form
Syllabus should include
Course/Program Description
Textbook/software version used
Timeline for content delivery in the class
Lecture and lab hours
Location of field work (if applicable)
Practicum (if applicable)
Standards of grading (scale, weight assessment and/or point distribution)
Teachers experience/education related to the specific course
Completed O/O Worksheet for each course being requested
http://www3.delta.edu/artic/?HSForms/OOWorksheetList.html. Each worksheet should
have 3 to 5 sample assignments and tests (comprehensive final preferred) attached to support
that specific course.
Completed 2+2 Program of Study Form, 1 per articulation agreement.
http://www3.delta.edu/artic/?HSForms/2Plus2ProgStudyList.html

I feel this information supports my request for articulation for students that receive a grade of

or better.
Insert Grade

Teachers Name (Printed)

Teachers Signature

Teachers Email Address

Phone Number

Best time and method of contact, in the event Delta faculty have questions. Initial contact will be made by email with a Cc: to the Articulation Liaison.
HS Articulation Liaison Name

HS Articulation Liaison Email

Date
Mode of Contact

Shaded boxes to be completed by Delta.

Delta Faculty Signature

Faculty Comments

Date

Notes on High School Contact

*(If not approved, explain specific areas needing change or information lacking to complete evaluation.)

September 22, 2016

Notes