Instructor Proposal – Lewiston Auburn Senior College

INSTRUCTOR PROPOSAL FORM

Name

Address

Phone

Course Title

Course Description

Bio

When and how would you like to teach your course? (if you wish to teach in-PERSON, we will contact you to set up a venue)

Fall (Mid-September – November) on ZOOM Fall (Mid-September – November) in PERSON Winter (Mid January – March) on ZOOM Spring (April – Mid June) on ZOOM Spring (April – Mid June) in PERSON

What day of the week would you like to teach?

What time of day of would you like to teach?

How many weeks will your class run?

How long will each class run?

Preferred class size

Will you need AV equipment for your class? (we will contact you for specifics)

Special notes, or comments

If you wish your students to purchase a book for your course, please list the book title and author.

Do you need a little help using ZOOM? We will get you up to speed!

Yes No

Senior College may use my photograph:

Instructor
Proposal

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Thanks for your interest!