Excursions in Learning
New Course Proposal
Complete and mail to Linda Armstrong, Excursions in Learning, MS #16, P.O. Box 1046, Manchester, CT 06045-1046; submit in-person to the Continuing Education Office, LRC
B147g; fax to 860-512-2801 or email to LArmstrong@manchestercc.edu. New instructors must include a résumé and three references or letters of recommendation with the new
course proposal.
For more information, please contact Linda Armstrong, Excursions in Learning Youth Programs at 860-512-2804 or go to www.manchestercc.edu/excursions.
INSTRUCTOR INFORMATION
First Name MI Last Name Date
Street Address (including apt/unit #)
City State Zip
Cell Phone Number Email Address
Date of Birth Last Four Digits of Social Security Number
COURSE INFORMATION
Course Title
Grade Level (select one)
n
K-2
n
3-5
n
6-8
n
Other: ______________ Preferred Semester
n
Fall
n
Spring
n
Summer
Course Description (Please provide one paragraph description that includes activities, objectives and goals. Be as specific as you can.)
Instructor Biography: (Please provide four-five sentences about yourself starting with your college degrees. This will be printed in our catalog.)
CLASSROOM NEEDS/EQUIPMENT
Which would you prefer?
n
Desks
n
Tables Type of computers required?
n
Mac
n
PC
Do you need an open space for movement activities?
n
Yes
n
No
Software needs, please specify ________________________________
Do you need computers for all students?
n
Yes
n
No
What type of flooring do you prefer?
n
Carpet
n
Tile
Do you need a computer for the instructor?
n
Yes
n
No
Do you need a sink?
n
Yes
n
No
Do you need a projector?
n
Yes
n
No
Any other needs? Please explain.
Do you need a CD player?
n
Yes
n
No
October 2018/PR
