Extended Education Course Proposal Form
Section 1 - Instructor Information
Instructor First Name *
Your answer
Instructor Last Name *
Your answer
Instructor Biography *
3 sentences max. We will publish this on our website.
Your answer
Instructor Resume *
For new courses, we need a resume for the instructor. Please email this to extended@humboldt.edu
Required
Instructor Photo *
We need a photo of you for our website! Send to: extended@humboldt.edu
Required
Degrees and credentials
What degrees/credentials does the instructor hold?
Email Address *
Your answer
HSU ID Number
If you have one.
Your answer
Street Address/PO Box *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Preferred Phone Number *
Your answer
What instructor contact information can be released to students? *
Required
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