National Park College
Non-Credit/ Continuing Education/Workforce
Course Proposal
Instructor Name
Date
Address
Phone
Email
Course Title
Number of Sessions_____________
Hours per Session______________
Total Hours of Course__________
Course Description
Proposed Dates/Times (please list at least 2 options)
Classroom Type Needed:
______Computer Lab (20 attendees) ______Art Room (15 attendees)
______Standard Classroom (30 attendees) ______Gym/Yoga (pre-approval required)
______Auditorium (60 200 attendees) ______Other (Specify________________________)
Equipment Needs: ____Computer ____Projector ___Whiteboard ___TV/DVD
Textbook/Materials/Supply List
Instructor Signature
Date
For Official Use Only:
Teach Back Date (if required)_______________ Approved____________
Added to Schedule ______________________(semester/year)
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