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UNF OLLI Instructor Form (Distance Learning)
We need at least two months lead time to schedule and promote classes. For example, your submission is due August 1 if you'd like to teach in October.
You will receive via email a copy of the form you submit.
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* Indicates required question
Email
*
Your email
Select the term in which you will be teaching the course described in this form.
*
24W Winter 2024 (Jan. 8 to May 3, 2024)
24S Spring/Summer 2024 (May 7 to Aug. 30, 2024)
24F Fall 2024 (Sept. 9 to Nov. 30, 2024, no classes in Dec. due to construction project)
25W Winter 2025 (Jan. 7 to May 2, 2025)
25S Spring/Summer 2025 (May 5 to Aug. 29, 2025)
25F Fall 2025 (Sept. 8 to Dec. 12, 2025)
Other:
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Best telephone number
*
Your answer
Are you a new instructor for OLLI?
Yes
No
Clear selection
Instructor's biography for the catalog (3 to 5 sentences. If you are a "returning instructor" and want to use your previously submitted bio, enter SAME):
Your answer
If there is a second instructor for this class, please enter name, address, email, phone number and bio here.
Your answer
Course Title
*
Your answer
Is this a new course?
Yes
No
Clear selection
Is this a repeated course with new content, description or title?
Yes
No
Clear selection
Number of Students: Min - Max
Your answer
WHAT will participants learn in this course? Provide a brief paragraph (course description) describing what topics will be covered as well as 3 or 4 outcomes you'll focus on (e.g. students will learn how to, will explore the background, examine the reasons for).
*
Your answer
HOW will participants learn, e.g., lecture and discussion, active participation/facilitation of material, outside reading or other preparation?
Your answer
FOR WHOM is your course designed, e.g., prerequisite knowledge, or skills?
Your answer
Is there a materials fee that students need to pay you directly?
Yes
No
Clear selection
If YES, please list the fee amount and what it will include.
Your answer
If students must acquire materials on their own, specify RECOMMENDED or REQUIRED, and cite materials.
Your answer
What physical health or strength is required? Are there accessibility parameters? Are there clothing recommendations?
Your answer
Please indicate the days you prefer to teach.
Monday
Tuesday
Wednesday
Thursday
Friday
Please indicate the time of day you prefer to teach.
9:30 am - 11:00 am
11:30 am - 1:00 pm
1:30 pm - 3:00pm
Other (Please Specify Below)
If you checked "Other" above, please specify below the time of day you request for your class.
Your answer
How many sessions and how often will this class meet?
(e.g., one session, 4 sessions once a week, 4 sessions monthly, etc.)
Your answer
What is your FIRST choice for a start date for this course? (MM/DD/YYYY)
MM
/
DD
/
YYYY
What is your SECOND choice for a start date for this course? Please do not repeat your first date as your second choice. (MM/DD/YYYY)
MM
/
DD
/
YYYY
Please use this space to specify when you are NOT available to teach.
Your answer
Please let us know of any special scheduling requests you have that have not been addressed in the above questions.
Your answer
My program will be:
Synchronous (Zoom only, conducted live)
Hybrid (You and some participants on Zoom, others F2F in a classroom)
Clear selection
How comfortable are you using the Zoom platform and its navigation functions?
Have Never Used Zoom
Somewhat Comfortable
Very Comfortable
Clear selection
What device will you use to present your class?
PC
Laptop
iPad
Other (Please Specify Below)
Clear selection
If you checked "Other" above, please specify below the device you plan to use to offer your class.
Your answer
What operating system will you use?
Apple iOS
Windows
Other (Please Specify Below)
Clear selection
If you checked "Other" above, please cite below the operating system you will use to offer your class.
Your answer
Do you envision using Powerpoint or Keynote?
Yes
No
Clear selection
Other visual presentation resources you might use:
TEDTalks
YouTube Videos
iMovie
Other (Please Specify Below)
If you checked "Other" above, please cite below the visual presentation resources you might use.
Your answer
What level of interactivity do you envision?
High
Moderate
Low
None
Clear selection
How will you promote interactivity (Check all that apply):
Zoom chat function
Q&A, open discussion
Blog
Website(s)
Email conversations
File Sharing
Other (Please Specify Below)
If you checked "Other" above, please specify below how you will promote interactivity.
Your answer
Synchronous class – Might you be willing to allow us to record your program for future distribution?
Yes
No
Clear selection
What didn't we ask that you would like for us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
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