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Home / Continuing Education Course Proposal Form

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Continuing Education Course Proposal Form

Continuing Education Course Proposal

Consider becoming an instructor in your area of expertise. We are looking for new teachers and new courses. Please submit a course proposal below.

Name*
First Last
Title (if applicable)
Company (if applicable)
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Alternate Phone
Email*
Course Title*
Are there other instructors or staff involved in course delivery?
If so, please provide details below
Are you offering this course anywhere else?*
- Yes
- No
If Yes, Where and When?
Course Description*
(Limit 100 Words). What makes this course unique over other similar courses? What can a student expect to learn?
List five specific learning outcomes/major topics to be covered.*
What should students be able to do by the end of the class?
List methods of presentation*
Lectures, demonstrations, field trips, exercises, films, discussions, etc.
What supplies or textbook need to be purchased by you or the students?*
If textbook is required please provide the title, author and ISBN number, plus approximate cost of the book.
What is the approximate cost of these materials?*
This does not include registration fee.
What do students need to bring to the first class?*
Suggested vendors or sources of supplies or textbook*
Name and Location
Will students need previous knowledge or skills in the subject?*
If so, what skills?
Intended Audience*
Describe the target audience of this course. Kids? Adults? General Public? Professionals?
What day(s) would you prefer to teach?*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
How many total instructional hours?*
How many class sessions per week?*
How many weeks?*
Meeting time*
- Daytime
- Evening
- Saturday
- Sunday
Do you prefer an intensive or workshop format?*
For example: 2 weekends, 5 days in a row, one day 9 to 5? Describe.
Minimum number of students?*
Maximum number of students?*
Course Budget
Expected compensation per hour*
Continuing Education only pays for classroom time, not for preparation or follow-up.
Number of photocopies per student*
Other course expenses*
Please itemize instructional materials, other costs such as travel, food, project materials, ect.
Other salaries
Please explain
Budget Total*
Special locations, room arrangements or equipment needed*
Suggested marketing/promotion ideas or materials*
Instructor's biography, resume and related experience
Biography*
(limit to 100 words) Include relevant experience, teaching experience, academic degrees. This information will be published online and in printed schedules. Why would a student want to take your class?
Attach your resume*
Accepted file types: pdf, doc, docx.
Education
Provide full information on your education and training.
Institution/College*
City and State*
Dates*
Degree*
Major*
Please provide three professional references for us to contact
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship
*
- I certify that the information on this and any attached form is true and completed to the best of my knowledge.
Signature*
Date*
Date Format: MM slash DD slash YYYY

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