PCE New Program Proposal Form

New Course Proposal Form

Thank you for your interest in developing a new professional development course through UC's Office of Professional & Continuing Education.
INSTRUCTOR INFORMATION:

(All fields required.)
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
DoctorateGraduate/Post GraduateUndergraduateProfessional/CraftspersonOther
Please provide a brief description of your background and experience qualifying you to teach this class:
Please list two references, their contact information, and business relationship to you:
Please provide a copy of your resume:

UPLOAD RESUME HERE
File types accepted are: pdf, doc, docx, jpg, jpeg, png Cancelof
COURSE INFORMATION:

(All fields required.)
Course Title:
Course Description:
Who is most likely the target audience (e.g., business professionals, teachers, etc.)?
YesNoNot sure
How many contact hours are required (i.e., total instructional time)?
In-personOnlineBlended: In-person with OnlineOther
On CampusOnlineOther
Class Syllabus: Please provide a brief outline of your course describing what material you plan to cover each session and the activities/methods used. (You may also upload your syllabus below.)
You have the option to upload your class syllabus here:

UPLOAD CLASS SYLLABUS
File types accepted are: pdf, doc, docx, jpg, jpeg, png Cancelof
Suggested Total Class Fee for Students:
Purchase their own, supply list to be providedSupplies provided by me (instructor), included in class fee
Please outline the supply list/text and the estimated cost:
Please include any additional comments:
Thank you for your interest in teaching at Communiversity!
Should be Empty:

New Course Proposal Form