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Course Proposal
Please fill out as much of the following as you can. We are happy to work with you on any of the details. It's not necessary to fill out the form completely. Question? Email us at
adult.ed@lsrhs.net
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Mailing Address
Your answer
City, State
Your answer
Zip Code
Your answer
In what subject area would you like to offer a course
*
Creative & Culinary Arts
Fitness & Games
Financial & Legal
Students & Parents
Other
What title would you give your course?
Your answer
Please give a description of your course. (What will be accomplished? What do you want students to know? Are there any pre-requisites? Is there a materials fee? What do participants need to bring?)
Your answer
Please list your qualifications or interests relating to instructing the course (brief bio)
Your answer
What season(s) would you like to offer your course?
*
Fall
Winter
Spring
Required
What day(s) of the week work best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (mornings only)
What time of day works best for you? (select a range)
3:00-6:00pm
6:00pm-9:00pm
9:00am-12:00pm (Saturdays only)
Clear selection
Do you have any special space requests? (projector, floors, art studio, etc...)
Your answer
How much compensation would you like to receive?
Your answer
What is the minimum number of participants you will instruct?
Your answer
What is the maximum number of participants you will instruct?
Your answer
Any questions or concerns?
Your answer
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