Course Proposal Form
Name
*
Legal First Name
Legal Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Available
*
-
Month
-
Day
Year
Date Picker Icon
PROPOSED COURSE INFORMATION
Proposed Title
*
Course Description
*
Course Learning Outcomes - What will the students learn by the end of the course?
*
Course Audience - What is your target age group?
*
Elementary
Middle School
High School
18-25
26-35
36-45
46-55
56+
Why Do You Want To Teach This Course? - Provide a brief explanation.
Instructor Background Credentials - Provide a brief background explaining your qualifications to teach this course.
*
PROPOSED COURSE SCHEDULE
Length of Session by Number of Weeks
*
Please Select
1
2
3
4
5
6
7
8
9
10
ex. 3 week session
Length of Class
*
Please Select
30 mins
1 hour
1.5 hours
2 hours
2.5 hours
3 hours
3.5 hours
4 hours
4.5 hours
5 hours
5.5 hours
6 hours
6.5 hours
7 hours
7.5 hours
8 hours
ex. 2-hours
Days of the Week
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Max Number of Students
*
Location:
*
MCC
Off Campus
Course Outline
*
Instructor and Student Supply Costs
Please provide us with a list of supplies (if needed) and an estimated cost, as it will be needed to accurately calculate the total course cost. All students and participants will receive their supply list upon registration to purchase on their own.
If no information is provided, the instructor will be held responsible for the cost.
Instructor Supplies
*
Student Supplies
*
"No Guarantee of Results" Disclaimer
*
By checking this box, the applicant acknowledges that there is no guarantee of the acceptance of their proposal. Applicants also understand that due to regulations, they will not receive feedback on proposal applications. If a proposal is accepted, a staff member will reach out for more information.
Submit
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