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
Degree(s)/Education/Experience

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.)?
Does this course qualify for professional continuing education units?

YesNoNot sure
How many contact hours are required (i.e., total instructional time)?
Desired Class Format:

In-personOnlineBlended: In-person with OnlineOther
Class Location:

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:
If required, how will students receive supplies/text:

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