Course Proposal
Winthrop - Monmouth Adult and Community Education

Currently we are mask optional and are face to face! However, we welcome all types of course proposals (face to face, online, or a mixture of both) but due to the fluid nature of the Covid-19 pandemic, face to face classes may not be possible if the CDC and the Superintendent change their guidelines. With that in mind, please be aware that a face to face class proposal may need to be postponed to a later date when it is permitted.  Please note- all online instructors will be responsible for an online delivery system (e.g., Zoom, Google Meet, etc.) with sufficient seats to accommodate enrollment, delivery of all online communications of class delivery and materials, and all tech support to students enrolled. Please fill out all pertinent sections and feel free to contact us with any questions at 207-377-2265 or at
Sign in to Google to save your progress. Learn more
Email *
Suggested Course Title *
Course Type (online or face to face) *
Instructor Name *
Phone Number *
Address *
Company Name (if applicable)
Instructor Payroll Type
Clear selection
Course Description *
Number of weeks * *
Number of class hours each meeting (example: 3 hours per class)
Day of the week and start date (Example: Monday, July 12. Classes can run any day except holidays) *
Start and end time (Example: 6 to 8 p.m.) *
Start Date (Summer Semester Starts June 6/6/2022 and ends 8/31/2022 and Fall Semester starts 9/1/2022 and ends 12/31/2022) *
End Date *
How many sessions would you like to teach of this course? *
What are the start and end dates of the other sessions if teaching more than one?
Location (face to face or online, Covid-19 restrictions may prohibit face to face learning) Location may have to change if using school property due to scheduling. *
If providing online teaching, please state platform used and subscription details (name of platform- i.e. Zoom, number of seats available, any time restrictions, etc.) Instructors must provide sufficient subscription services to cover the class they are proposing.
How much would you like to receive per student/class fee (we offer an 75/25% split, instructor receives 75%) Please answer in the dollar amount you would like to receive. *
Minimum enrollment (How many students do you need to run the class? Maximums will be determined based on teacher input, format, and current CDC and school district Covid 19 safety guidelines for in-person classes.) *
Facility and Equipment Requests (face to face classes only, we will try our best to help if we can.)
Supplies/Handouts (will students be required to purchase materials) *
What special experience/education qualifies you to offer this class *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Winthrop Public Schools. Report Abuse