New Course Request Alabama State Department of Education Academic Waiver Request

Alabama State Department of Education

Academic Waiver Request - New Course Request
New Course Request
Complete when requesting a course not currently in an approved Alabama Course of Study or renewing a previously submitted and approved new course request.

All questions and communications relating to ALSDE Waiver Requests should be submitted to Superiwaivers@alsde.edu.
ALSDE Required Waiver Components

Letter of waiver request from LEA superintendent and corresponding documents to the State Superintendent of Education should consist of the following:
1. Completed ALSDE online waiver request form;
2. Corresponding academic curriculum plan, which may include a course syllabus, course description, and course content standards (Examples are posted to www.alsde.edu);
3. Additional documentation relevant to waiver request, if applicable (Example—letter(s) of support, meeting notes, etc.); and
4. Formal letter of request from LEA superintendent on letterhead and addressed to the State Superintendent:
  
  Alabama State Superintendent of Education
  Alabama State Department of Education
  50 North Ripley Street
  P. O. Box 302101
  Montgomery, Alabama 36104-2101
An electronic copy of the signed LEA Superintendent letter must be submitted on the form below.
Initial New Course RequestRenewal of a Previously Approved New Course Request
LEA Required Waiver Assurances

Collaboration
Ongoing discussion with any/all proposed teacher(s) involved in the waiver and subject matter expert educator(s) to develop academic/curriculum plan, if applicable. (Example—Physical Education teacher and Marching Band Director, core subject and elective teacher(s), etc.)

Planning
Approved academic/curriculum plan will be fully implemented and a copy will remain on file at each school and with system-level administration.

Athletics
Only student athletes who are registered with the Alabama High School Athletic Association (AHSAA) are approved through a sport-specific physical education course waiver.

Communication
Notification of the National Collegiate Athletic Association (NCAA) and AHSAA academic eligibility guidelines are clearly communicated to students and parents. Notification of waiver approval status is annually reviewed and communicated to school administrators, school staff, students, and parents.

Documentation
Copy of ALSDE formal waiver approval will be uploaded to Student Information System (SIS) and a copy will also be included in student cumulative records, if applicable.

Waiver Approval School Year(s) Impact
LEAs must ensure that waiver requests are followed based on school year(s) approved (2 years) AND resubmitted if the LEA chooses to continue the waiver past the approved school year.
General Waiver Information
LEA*
LEA System-Level Contact Name*

First NameLast Name
Position*
Email Address*
example@example.com
Telephone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Waiver Request*

MonthDayYear
Date
New Course Request

Complete when requesting a course not currently in an approved Alabama Course of Study
Name of Course*
Course Description*
YesNo
Explain the process the LEA will use to select and assure the instructional materials are high-quality and meet the developed course standards.*
Name of Selected Instructional Materials Used for the New Course*
Publisher of Selected Instructional Materials Used for the New Course*
Academic Year(s) of Waiver Request*
Ex. 2019-2021
To which cohort(s) of students will this waiver apply? (Example: 2021, 2022, etc.)*
Name of School(s) Requesting Waiver*
Grade-Level(s)*
Amount of Credit to be Awarded*
Course Length*
Subject Area*
Prerequisite(s) if Applicable
What is the purpose/rationale for this waiver request?*
If approved, what unintended consequences could be foreseen with the implementation of this waiver?*
What other information should be considered and/or could impact the approval of this waiver request?*
Supporting Documents
Upload the letter of request from LEA superintendent.*

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Upload the standards for the new course request.*

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Upload the curriculum guide/plan for the waiver request.*

Link to template: https://bit.ly/ALSDE-NC
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Upload any other supporting documents that would inform the review of this waiver request, if applicable.

Cancelof
Signatures

By signing below, all parties are certifying all assurances, requirements, and supporting documents are included on this form and are accurate.
Signature of School Principal*

Clear
Signature of LEA System-Level Contact*

Clear
Signature of LEA Superintendent*

Clear
Should be Empty:

Alabama State Department of Education

General Waiver Information

New Course Request

Supporting Documents

Signatures