Archive: May 2011
Course Idea Proposal Forms
Course Idea Proposal Forms format 2
***If you have trouble opening one of the above files you can use the sheet below to copy/paste info.
Instructor/Course Information Sheet
If you are interested in teaching a course for Kittery Adult Ed. please fill out the attached form. If you have any questions or concerns do not hesitate to contact us. If convenient, please email form back to firstname.lastname@example.org or mail to Kittery Adult Education, 12 Williams Ave., Kittery, ME 03904.
What is the best telephone number to reach you at during the day: _____________
Are you an Independent Contractor: Yes No
Are you a member of Maine State Retirement: Yes No
Please give a brief Bio. on yourself (approx. 35 words): ____________________________________________
Course Title: _____________________
Start Date: ______________& Day: Mon., Tue., or Thurs.
*Please indicate 1st choice & 2nd Choice. We will do our best to accommodate your request. Classes will be offered 3 nights a week.
# of Weeks: ____________Time:_____________ (from 5:30-9 pm)
# of Students :_________(min) __________ (max)
Your requested pr/hr Fee: _____________
Material Fee: _________
Additional Room Needs:____________________________________
Will you be providing a Material List: Yes No
Are you flexible in reference to the above requests: Yes No
We will do press releases and publicize your course in our brochure to solicit enrollment. Please give a brief Course Description that may entice students (2 or 3 sentences): ______________________________________
Please attach any jpeg images of your work/craft if you like.
by Cindy Furbish
on May 12, 2011
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News, Events, and Course Idea Proposal Form