Scoil Mhuire Adult Education - Course Proposal Form
Please use this form to submit a course proposal or to request a change to your existing course details
Contact Details
Tutor Name *
Please include full name
Email Address
Phone Number
Mobile Phone Number
Course Details
Course Name *
Please include Proposed or Revised Course Name
Course Number
If you are requesting a change to a course you are delivering please include the existing course number.
Course Description - Brochure
Please include a description you would like included in the Scoil Mhuire Brochure. Refer to existing brochure for examples. If you are submitting revised details for an existing course but the description remains the same please leave blank.
Course Description - For Web Page
If available, please include a more detailed description for your course to be included on our Website www.clanesm.com.
Nights you are NOT available to deliver this course
Please indicate any night that you are NOT available to deliver this course.
Start Time
Please indicate preferred start time for the course.
Time
:
Duration
Please indicate preferred class duration (Ignore Seconds!)
Hrs
:
Min
:
Sec
Are you available daytime to deliver this class
Additional Information
Any other comments or additional information
Submit
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