Community Education Class Proposal - Center for Workforce Development

Name:(required)

Email:(required)

Phone:(required)

Address:(required)

City:(required)

State:(required)

ZIP:(required)

What is the best way to contact you?(required)

When is the best day/time to contact you?(required)

Class title:(required)

Describe the class you are proposing and the benefit the student will receive from your class:(required)

Instructor's qualifications and experience:(required)

Have you taught this class previously?(required)

What enrollment did you have?(required)

Please explain why you feel the program was successful:(required)

Student age:(required)

Max number of students:(required)

Min number of students:(required)

How many times would you like to offer this class?(required)

Hours per class:(required)

Number of weeks:(required)

Room requirements (tables, chairs, desks, sinks...):(required)

Additional equipment needed (computers, internet access, projector, VCR, overhead):

Materials to be supplied by student:(required)

Instructor and supply fees (what you expect to be paid per hour):(required)

Other information you would like to share about your proposed class: