Center for Workforce Development Community Education Class Proposal Class Proposal Form Contact informationName:(required)Email:(required)Phone:(required)Address:(required)City:(required)State:(required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZIP:(required)What is the best way to contact you?(required)PhoneEmailWhen 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)YesNoWhat 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)Class durationHours per class:(required)Number of weeks:(required)Preferred class day:(required)MondayTuesdayWednesdayThursdayFridayPreferred class time:(required)MorningAfternoonEveningRoom 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:SendThis field should be left blank