Class Proposal and Information Form

  • Course Proposal Form

  • Directions: Make the proposed class title and course description catchy but accurate. Add the word DRAFT if you know you want to facilitate the class but don't yet have all the information ready. When you complete the form it will save automatically and send you an email link so you can edit the form at a later time. Be sure to go all the way to the end of the form and use the SUBMIT button to save your draft or final version. PLEASE use the form for one course only. If you have more than one course to propose, please complete a new form for each course.

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    To move from one entry field to the next, it is best to use the mouse and click into the entry field.

    • To navigate between pages, use the BACK and NEXT buttons at the bottom of the page.
    • Click the SUBMIT FORM button when you have completed the form to your satisfaction.
    • You will receive a confirmation email after submission with a PDF attachment that you can download and/or print.
    • Inputs with a red * indicate a response is REQUIRED.
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  • Facilitator/Instructor Information

     

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 0/100

  • Course Information

     

  • Which Category best describes your proposed class? Select only one.*
  • What type of course will this be? Check all that apply:*

  • Class/Presentation Scheduling

     

  • Number of class sessions:*
  • When are you available to teach:*
  • Length of each session?*

  • Instructional Needs

     

  • Please indicate any special audiovisual requirements here. Note that most Pierce College classrooms are equipped with overhead projectors, screens, VGA/HDMI cables, speakers, CD/DVD players and white boards. Wifi access is available but not reliable so plan to download anything you need for class.*
  • Is this your final version?*

  • References

    Please provide two references

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  • What's Next

     
    The information you have provided will be reviewed by the Pierce College Community & Continuing Education Program Developer  for review. You will be sent an email confirmation and a PDF copy of this form immediately.  You will then be notified once your proposal has been received and processed.  If you do not hear from us within 5 busines days, please send an email to tclark@pierce.ctc.edu to confirm receipt.

  • Should be Empty: