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Adult Continuing Education Instructor Application
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Name
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Email
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Phone Number
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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
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Target market
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Suggested length of course
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Preferred term
Fall (September - December)
Winter (January - March)
Spring/Summer (April - August)
Preferred day of the week
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred number of participants
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If you offer this course at another location, please indicate where.
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Expected hourly rate of pay
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Course description
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Participant outcomes
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Prerequisite (if applicable)
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Course content
Please outline in bullet form, what each session will entail and/or what content will be covered.
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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.
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Comments
Are there any other details we need to know about this course?
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Bio
Tell us about yourself in the third person. 300 words or less.
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References
Please provide two relevant professional references
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