F-24 SGL Proposal Form

2025 Winter Semester Course Proposal

September 16, 2024 - December 13, 2024

NOTE: Classes will NOT be held

October 3,4,14,17,18,24 November 5,11,28,29

SUBMIT your completed form to curriculum@ilrnh.org no later than

JULY 19, 2024
Fields with * are Required
Semester: (ILR use only)
About You
First Name*
Last Name*
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Phone: *
Alternate Phone:
Preferred Phone type*
Alternate Phone Type
Is biography on file with ILR? If no, please complete below

Yes
Biography (Relevant to course material. (150 words or less, may be edited for catalog)
About the Course (Include required materials and texts in the Course description)
Title of Course*
Genre of Course (select as many as applies)
Course Description (200 words or less, may be edited in catalog due to space restrictions)*
Check if you want to receive feedback from your course participants

YesNo
Scheduling Request

NOTE: Classes will NOT be held October 3,4,14,17,18,24 November 5,11,28,29

SUBMIT your completed form to curriculum@ilrnh.org no later than JULY 19, 2024
Preferred Teaching Platform*
Preferred Location for In-Person (1st choice)
If Other, Where?
Preferred Location for In-Person (2nd choice)
If Other, Where?
Day of the Week*
Number of Sessions*
Day/Date Flexible?

YesNo
Course Fee
Requested session dates:
Assigned Location
Session 1*

MonthDayYear
Date
Session 5

MonthDayYear
Date
Session 2

MonthDayYear
Date
Session 6

MonthDayYear
Date
Session 3

MonthDayYear
Date
Session 7

MonthDayYear
Date
Session 4

MonthDayYear
Date
Session 8

MonthDayYear
Date
Class Start Time (9:30a for Hikes only; Woodbridge Town Library 10:30a)*
Class End Time (11:30a for Daniel Sullivan)*
Minimum Number of Students*
Maximum Number of Students*
Zoom Classes
ILR will host all Zoom sessions. You will be provided with a link to join your session(s). Zoom recordings will be available only to registered students for a period of 30 days. Please indicate if we may record your course sessions.
May we record your Zoom sessions?

You may record my Zoom classesYou may NOT record my Zoom classes
Preferred Teaching Platform and Location
In-Person Classes
Classroom Set-up (depends on availability)

Classroom Theater Tables in U Pods Conference
Room Layout Preferred
If Other (explain set-up)
Assigned Location
Assigned Room
Presentation and Support Services
Your Presentation method (PowerPoint, Video, Lecture, etc.)
Operating systems of your equipment

AppleMicrosoft Windows
What equipment will you bring? (Mac or PC,USB, DVD, Tablets, IPad, CD, connection cables, etc.)
What Support Services do you need? (check all that apply)

WhiteboardPortable MicDVD/CD PlayerLapel MicPodiumWiFiProjector/ScreenSpeakersZoom TrainingSpecial Audio/Video Set Up needed
What Special Audio/Video or Technical Support set up do you need?
ILR COVID Policy and Copyright Laws*

Please check box to confirm you will comply with current ILR COVID policy and copyright laws for materials presented.
Questions

Contact: curriculum@ilrnh.org or

David Phelps, 203-731-0750 or Serena Guerrette, 203-988-5128

TO SUBMIT: Hit Submit button to send completed form to curriculum@ilrnh.org no later than JULY 19, 2024. You will receive a confirming email with your responses. A separate email will be sent to you with the edited version of your course description and biography as it will appear in the catalog.
Date Submitted*

MonthDayYear
Date
Should be Empty:

2025 Winter Semester Course Proposal

Fields with * are Required

Requested session dates:

Zoom Classes

**Fields with * are Required**