Fillable Course Proposal Form Date Thank you for your (Mercer County Community College)

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Course Proposal Form Date Thank you for your (Mercer County Community College)

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Date
PERSONAL INFORMATION
Name:
Street Address:
City: State: Zip:
Phone Number: qHome qCell qWork qOther
Secondary Phone Number: qHome q Cell q Work qOther
Email Address:
Have you previously taught for CCS? q
Yes qNo
NOTE: Please attached a copy of your professional resume and portfolio or pictures of work to your application via email.
BIO:
Please write a brief (no more than 200 words) biography that describes your professional qualications as it relates to this course:
COURSE INFORMATION
Proposed Title:
Estimated number of sessions: Estimated total number of hours:
Start Date: End Date:
Time(s) proposed (please be specic as to a.m. or p.m.):
Target Audience: Maximum number of students:
NOTE: Please be prepared to provide a 10 minute demonstration of your class.
COURSE DESCRIPTION:
Please write a brief (no more than 250 words) description of your proposed course. What makes this course unique
CCS reserves the right to edit or modify descriptions for publication and promotional purposes.
Course Proposal Form
Thank you for your interest in teaching at Mercer County College’s Center for Continuing Studies (CCS). Our goal
is to expand our reach into the community by adding to the extensive oerings of more than 100 courses across
the spectrum from personal interest topics to highly specialized industry training classes.
CCS accepts proposals for new noncredit course offerings on a year-round basis, with specific semester
deadlines as follows: Fall Semester - March 15 | Spring Semester - July 15 | Summer Semester - November 15
Instructions: Please complete this form for each course you wish to teach. This form helps clarify details of your course
proposal. If you have a particular preference for course dates, indicate so. If your dates are xible, list preferred day of the
week and month(s). Throughout this form you will nd additional instructions for submitting a copy of your resume, portfolio,
and coursework. The completed form and any additional support materials should be submitted to raoj@mccc.edu.
We will contact you to conrm dates and times when your course is approved.
OBJECTIVES:
Upon completion of this course, participants will be able to (a separate sheet may be attached, if necessary):
1.
2.
3.
4.
5.
TOPICAL OUTLINE:
Identify the main topics and sub-topics for each class session; include the estimated alloted time for each topic (a separate sheet may be
attached, if necessary):
1.
2.
3.
4.
5.
SUPPLIES NEEDED FOR STUDENTS
Please make a note of any materials or equipment that the students should have prior to the start of class (i.e. USB ash drive, Internet access, musical
instrument, sketch book and pencils, stethoscope)
TEXTBOOK AND TECHNOLOGY REQUIREMENTS
Book Title:
Author:
Publisher:
Publisher Phone Number (if known):
Edition: ISBN Number: Cost (if known):
qRequired qRecommended
(Please make a note in the NOTES section if additional textbooks are required)
Please identify any technology needs:
Please identify the type of room you will need:
q
Computer Lab qTraditional Classroom (with white board) qOther
Course Proposal Form
SUBMISSION CHECKLIST:
qCourse Proposal Form
qResume
qPortfolio and/or photos of work
qCopies of all handouts, exercises, projects, assignments, quizzes, grading criteria, and any other assessment tools.
NOTES:
Course Proposal Form
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Course Proposal Form Date Thank you for your (Mercer County Community College)

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Completed 23 July 2020

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