Community Education Class Proposal Class Proposal Form Contact informationName:Email:(required)Phone:Address:City:State:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZIP:What is the best way to contact you?PhoneEmailWhen is the best day/time to contact you?Class title:Describe the class you are proposing and the benefit the student will receive from your class:Instructor's qualifications and experience:Have you taught this class previously?YesNoWhat enrollment did you have?Please explain why you feel the program was successful:Student age:Max number of students:Min number of students:How many times would you like to offer this class?Class durationHours per class:Number of weeks:Preferred class day:MondayTuesdayWednesdayThursdayFridayPreferred class time:MorningAfternoonEveningRoom requirements (tables, chairs, desks, sinks...):Additional equipment needed (computers, internet access, projector, VCR, overhead):Materials to be supplied by student:Instructor and supply fees (what you expect to be paid per hour):Other information you would like to share about your proposed class:SendThis field should be left blank
