____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
___________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
C C Continuing Education Course Proposal - Elgin Community College
Please fill out completely and email to CEMailbox@elgin.edu
Date : _____________ Semester Interested in teaching : Spring ______ Summer ______ Fall ______
Instructor’s Name: _____________________________________________________________________________________
Address: _____________________________________________________________________________________________
City / State / Zip: ______________________________________________________________________________________
Home Phone: ________________________ (cell/work): ______________________________________________________
Email: ______________________________________________ Are you currently an employee of ECC? ___Yes ___No
Proposed course title: __________________________________________________________________________________
Course description: Type or print clearly a description of your course as it might appear in the ECC Schedule of Classes. (ECC
will edit as needed.) _________________________________________________________________________________
Course objectives (Please list at least 3 objectives for you course.)
1. _________________________________________________________________________________________________
2. _________________________________________________________________________________________________
3. _________________________________________________________________________________________________
Why will this course be beneficial to the ECC Community? ____________________________________________________
Have you ever taught this course before? ___Yes ___No If yes, where/when? ____________________________________
Target audience (Kids’ College, professionals, moms, boomers, senior citizens, etc.) ________________________________
Dates: Suggested start date ________________________________Suggested end date _________________________
Meets ________ time(s) per week for _________ week(s) on the following day(s): M T F SA
Time:Suggested start time ___________ Suggested end time ___________ Total hours this class will meet
W TH
___________
Preferred number of participants: ___________ Minimum _____________ Maximum
Supply list Please list below the instructional materials and supplies you will need to teach your course and the approximate
cost per student. ___________________________________________________________________________________
Special equipment or setup needs: audio visual equipment, computer lab, DVD/VCR, others
Please attach any handouts you will need for your class.
To be considered, please provide the following email attachments with this proposal:
* a copy of your resume, licenses, certifications or other credentials
* a biography. Biographical information may be published on the website, in direct-mail pieces, or in news releases.
(ECC reserves the right to edit.)
Thank you for your interest in offering courses through ECC’s Continuing Education Department. If accepted, you will be asked
to either complete an employment application online and to provide a copy of your driver’s license and social security card
along with other forms required by the ECC HR office or be paid as a vendor by completing a W9 form. ECC reserves the right
to make final determination regarding how you are compensated for instructing Continuing Education classes.
FOR OFFICE USE ONLY Date proposal received ___________ Coordinator hiring this instructor __________________
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome