SHINE Class Submission Form- Fall 2018
Please fill out one form for each class you would like to teach. If you would like to teach the same class for two age groups, you must fill out two separate forms.
Teacher's Name *
Your answer
Teacher's Email Address *
Your answer
Teacher's Phone Number *
Your answer
Co-Teacher's Name (Optional)
Your answer
Co-Teacher's Email Address
Your answer
Co-Teacher's Phone Number
Your answer
Class Name *
Your answer
Grade Level (Please choose at least two.) *
Required
What is the fee for this class? (Co-op parents can only request a fee to cover class supplies.) We like to keep most classes around $0-15 per student.) All class fees are subject to approval by the co-op board. *
Your answer
Please give a brief description of this class and the material that will be covered, along with a list of any supplies THE STUDENTS will need to bring to class. (Do not include supplies you will buy and provide with their class fee.) *
Your answer
Are there any student requirements for this class? (Example: students need to be able to read independently, students need to know basic computer skills, etc.) *
Your answer
What is the maximum number of students you're willing to take for this class? (For younger classes, we cap most at 8. For older class, we are open to taking more depending on the subject material. I cannot guarantee you will have more than one helper.) *
Your answer
How many semesters will this class run? *
Required
Do you need any special accommodations for this class? (Access to a sink, whiteboard, outdoor area, etc.) *
Your answer
Teacher bio: (anything you would like to include about yourself under each of your classes)
Your answer
Is there anything else you would like for me to know?
Your answer
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