Workforce Development and Continuing Education

Non-Credit Program Proposal Form

Course Information

Title of Course:
Description of Course:
Outline of Course (goals, objectives, topics):
Target audience:
Total Clock Hours:
Will CEU’s be awarded? Yes No
Maximum number of students:
Suggested fee for course:
Salary Requested:
Proposed dates and times:
Equipment needed for instructor:
Preferred location:
Textbook:
Supplies needed per person:
 

Instructor Information


*Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Work Phone:
FAX:
*Email:
Social Security Number:
   
   

* Required Fields