Adult Continuing Education Instructor Application
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Name *
Email *
Phone Number *
Course Information
Please complete the following Course Outline for the course you are proposing. If you have more than one course idea to propose, you will need to re-submit this form. You may submit up to three different course ideas.
Course name
Target market
Suggested length of course
Preferred term
Preferred day of the week
Preferred number of participants
If you offer this course at another location, please indicate where.
Expected hourly rate of pay
Course description
Participant outcomes
Prerequisite (if applicable)
Course content
Please outline in bullet form, what each session will entail and/or what content will be covered.
Supply list
If students are required to purchase supplies for the class, please indicate what is needed. If no supplies are required, please write N/A.
Are there any other details we need to know about this course?
Tell us about yourself in the third person. 300 words or less.
Please provide two relevant professional references
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