Bridge Program Proposal

Bridge Program Approval

(For use with Adult Education funds only. Bridge Programs funded with non-AE funds do not need ICCB approval.)
Note: To plan out your response before submitting, click here to download and complete a Word Document version of this form. This is a Google Doc so either make a copy to edit OR go to File --> Download and chose your prefered working format.
Program/Community College Name*
Please do NOT use abbreviations
Contact Person*

First NameLast Name
Email*
example@example.com
Phone Number

Area CodePhone Number
APC Number*
ICCB Program ID #*
You can find this on the Program Details page in the Administration section of DAISI
Bridge Name*
Anticipated Start Date

MonthDayYear
Date
Select your Bridge Program Career Pathway*

Agriculture, Food, and Natural ResourcesArchitecture and ConstructionArts, A/V Technology, and CommunicationsBusiness Management and AdministrationCareer Pathways/CollegeEducation and TrainingFinanceGovernment & Public AdministrationHealth ScienceHospitality and TourismHuman ServicesInformation TechnologyIntegrated English Literacy and Civics Education (IELCE)Law, Public Safety, Corrections and SecurityManufacturingScience, Technology, Engineering, & MathTransportation, Distribution, and Logistics
Describe how this Bridge helps to meet the expectations of the IELCE program:*
Bridge Required Components

Three core elements are required to be included as part of a Bridge . In the spaces below, describe how your Bridge meets each core element:
How does your Bridge include contextualized instruction that integrates basic reading, math, and language skills and industry/occupation knowledge?*
What Transition Services are offered? Transition Services provide students with the information and assistance they need to successfully navigate the transition from adult education or remedial coursework to credit or occupational programs. These services may include (as needed and available): academic advising, study skills, coaching, and referrals to individual support services, e.g., transportation and child care.*
How does your Bridge incorporate elements of Workforce Preparation and/or Career development? This includes instruction in workplace language, career readiness/exploration, career planning within a career area, and understanding the world of work.*
Additional Details
To where does this Bridge lead? Choose one or more:*

ICAPSCredit-bearing CourseworkWork-based learning (such as an apprenticeship)Employment opportunity/opportunities
Describe the ICAPS to which this Bridge leads. Where is it offered?*
Describe the credit-bearing coursework to which this Bridge leads.*
Describe the work-based learning program to which this Bridge leads.*
Give an example of an employment opportunity to which this Bridge may lead, and explain how your Bridge prepares students for this role.*
About the course itself
Has the course associated with this Bridge been approved by ICCB? (For Community Colleges, this would be via the ICCIS system, which is Step 1 in the process. For non-community college programs, this would be via the New Course Submission Jotform.)*

YesSubmitted, but no approval received yet.No - Please note, this form is one step of a 2-step process. The other step is to submit the course approval form. For specific instructions, please see the Adult Education Providers' Manual, Section 7: Instruction.
List the course code as it will be/has been entered into DAISI.
List the course name as it will be/has been entered into DAISI.
Instructional Category (select all that apply):*

ABEASEHSCRESLVOC
Population the course is expected to serve:*
(e.g., low-level ESL, ASE Levels 5 and 6, etc.)
This course is... (select all that apply)

Job Skills IncorporatedCitizenshipMath Only
Enrollment Type(s)*

Fixed EnrollmentOpen Enrollment
Intensity/Duration

This class will be blank* hours per week forblank* weeks.

Note: If this is a variable credit course, enter the maximum number of hours/weeks.
Course Repeats:*
Must be less than or equal to 3.
Minimum Units of Instruction (Read Only)
Minimum UI is always 0.5.
Will any class sections of this course be offered in a hybrid or at-a-distance format?*

YesNo
Which ICCB-approved distance-learning curriculum (Class Software Model) will you use?*
If you plan to use more than one, choose the curriculum you will be using most often.
% of class time using curriculum (Hybrid only; enter a range if this will vary from class to class):
Do not include the % sign
Which proxy hour tracking model will you use?*

Clock Time ModelLearner Mastery ModelTeacher Verification Model
Provide a brief description of how you will use the model indicated above to track proxy hours.*
Syllabus

Upload a PDF version of the syllabus for this course. The syllabus must include:
1. a brief description of the course
2. specific objectives of the course
3. a topical outline
4. a method for evaluating student progress
5. (if applicable) IELCE Competencies.
Upload the syllabus:*

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Bridge Program Approval

Bridge Required Components

Additional Details

About the course itself

Intensity/Duration

Syllabus