Course Proposal Form
Dover/Lewes/Ocean View
Instructor Information
Instructor Name
Your answer
Instructor Address
Street
Your answer
Instructor Address
City
Your answer
Instructor Address
State
Your answer
Instructor Address
Zip
Your answer
Home Phone
Including area code XXX-XXX-XXXX
Your answer
Cell Phone
Including area code XXX-XXX-XXXX
Your answer
Email Address
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Including area code XXX-XXX-XXXX
Your answer
Emergency Contact Relationship
Your answer
Do you want your name, address, phone number and email address published in the Osher directory?
Are you?
Instructor Biographical Information
Limit to 40 Words or Use Existing Biographical Information
Your answer
Course Information
Guidelines for Writing Course Descriptions:
* Be Brief: Limit description to 50 words or less to convey course content.
* Be Concise: Answer the “who, what, where, when, why & how” in the first sentence or two.
* Convey Instruction Methods: What portion of the instruction will generally be lecture, film, activity,
discussion, or other?
* Convey Expectations: What are prerequisites, previous courses, background, materials to be purchased,
copy expense, limitations (activity level), degree of difficulty (if applicable) etc.?
* Brief Subjective Comment: (Optional) What a student might expect, find useful, find entertaining, etc.
Course Title
Limit to 30 characters including spaces
Your answer
Course Description
Limit to 50 Words or Use Existing Course Description
Your answer
Category
Has this course been offered before?
Would you like to plan a class trip?
Would you like to plan a class trip?
If yes, please describe (limit to 200 characters)
Your answer
What year would you like to teach?
Your answer
What semester would you like to teach?
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